Pancreas transplant after a prior kidney transplant may be considered medically necessary in patients with insulin-dependent diabetes.
A combined pancreas and kidney transplant may be considered medically necessary in insulin-dependent diabetic patients with uremia.
Pancreas transplant alone may be considered medically necessary in patients with severely disabling and potentially life-threatening complications due to hypoglycemia unawareness and labile insulin-dependent diabetes that persists despite optimal medical management.
Pancreas retransplant after a failed primary pancreas transplant may be considered medically necessary in patients who meet criteria for pancreas transplantation.
Pancreas transplant is considered investigational in all other situations.