Updated February 2022
For liver transplant programs & NLRB
These resources are not OPTN Policy, so they do not carry the monitoring or enforcement implications of policy. They are not official guidelines for clinical practice, nor are they intended to be clinically prescriptive or to define a standard of care. These resources are intended to provide guidance to transplant programs and the National Liver Review Board (NLRB).
Adult MELD exception review
This document summarizes available evidence to assist clinical reviewers in approving candidates for adult MELD exceptions.
Pediatric MELD/PELD exception review
This document summarizes available evidence to assist clinical reviewers in approving pediatric candidates for status 1B exceptions and MELD or PELD exceptions.
Adult MELD exceptions for HCC
This guidance document is intended to provide recommendations for the review board considering HCC cases which are outside standard policy.