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What's New

                                              Intestinal & Multi-Visceral Transplantation: Version 7.0

What’s New?

1. Updated first year billed charges from Milliman:

See tables at the end of this Quick Reference Guide.  

2. The patient diagnosed with intestinal failure has complex and multiple care management needs. It is a major undertaking for the patient and family as well as their health plan team to seek out leading medical providers with expertise in the field of intestinal failure.

INTERLINK suggests the following facility characteristics be considered in the selection of an intestinal rehabilitation team. The intestinal transplant program must have a national reputation as a tertiary or quaternary center for the treatment of serious gastrointestinal, hepatic, and pancreatic conditions. The program must have a fully functioning intestinal rehabilitation program including the capability for, and significant experience in, performing complex bowel-lengthening procedures and managing aggressive nutritional interventions to reduce reliance on parenteral nutrition for those with bowel lengths < 100 cm. The program should be able to demonstrate regional or national outreach efforts to work with home Total Parenteral Nutrition companies to better manage this aspect of care for those with compromised bowel lengths. The intestinal transplant team must be well identified as such and should include participants from surgery (GI and transplant), gastroenterology/hepatology, stoma therapists, interventional radiologists, as well as other areas typical of highly functioning transplant programs. Pediatric programs must have a pediatric gastroenterologist/hepatologist as part of the intestinal rehab and transplant team.