Autologous Tandem or Sequential Bone Marrow Transplant, Ped
A procedure to treat childhood cancers. The procedure involves the infusion of the patient's own blood forming stem cells, to produce new blood cells and generate new marrow. The tandem or sequential transplant is essentially two autologous transplants in succession within a 6 month period where enough cells are harvested for both transplant events. Candicacy for tandem or sequential procedure is based on each patient's unique clinical pathway in conjunction with the recommendations by their care team.
The Bundled Rate plus Outlier Per Diems includes:
- Those comprehensive facility services, supplies, and equipment necessary to perform the Bundled Procedure and rendered by PROVIDER
- Those professional services necessary to perform the Bundled Procedure and rendered by a Physician
- The treatment of any complication or concurrent related illness associated with or resulting from the performance of the Bundled Procedure
The Bundled Rate period begins on the day of the prep regime for the scheduled Accarent Procedure and covers up to 30 inpatient days in the hospital. Should the length of stay exceed 30 inpatient days, then per diem outlier payments will be applicable for each subsequent inpatient day. Covered outpatient follow-up services related to the bundled procedure beginning on the day of discharge through 60 calendar days are included in the bundled price.
There are no exclusions.
Candidacy for the bundled procedure will be determined by the facility at record review or consultation.