Liver and Intestine

• Patient questions and answers for updates to MELD and PELD (PDF - 355 KB) New
• Improving liver allocation general implementation FAQ (PDF - 232 KB)
• Improving liver allocation MELD 3.0 FAQ (PDF - 144 KB)
• Improving liver allocation pediatric FAQ (PDF - 226 KB)
• Improving MELD, PELD and status 1A/1B: FAQs for patients and caregivers (PDF - 148 KB)
• MELD and PELD calculators user guide (PDF - 266 KB)

Improving Liver Allocation: MELD, PELD, Status 1A and Status 1B (PDF - 667 KB)

• Twelve-month monitoring report: MELD 3.0 and PELD-CR (PDF - 2 MB) (2/2025)
• Six-month monitoring report: MELD 3.0 and PELD-CR (PDF - 3 MB) (8/2024)
• Three-month monitoring report: MELD 3.0 and PELD-CR (PDF - 4 MB) (4/2024)

The liver allocation policy makes matches by comparing medical and logistical characteristics about deceased donors and transplant candidates. In general, the first matches will be made for the most urgent candidates listed at transplant programs within a certain distance from the donor hospital. The specific sequence used will vary according to certain facts about the donor, such as the donor’s age and mechanism of death.

View examples that illustrate the allocation sequence based on different donor characteristics.

• Liver variance list (PDF - 519 KB) (3/2020)
• Questions and answers for patients about liver allocation

NLRB and liver distribution-related policy notices

• Two Year Monitoring Report of Liver and Intestine Acuity Circle Allocation Removal of DSA and Region as Units of Allocation (PDF - 8 MB) (8/5/2022)
• Expedited liver placement pathway six-month post policy Implementation Monitoring Report (PDF - 2 MB) (12/8/2021)
• Eighteen-month monitoring report available for removal of DSA and region as units of allocation (PDF - 4 MB) (12/3/2021)
• Fifteen-month monitoring report available for removal of DSA and region as units of allocation (PDF - 2 MB) (8/9/2021)
• One-year monitoring report available for removal of DSA and region as units of allocation (PDF - 6 MB) (4/5/2021)
• Nine-month monitoring report available for removal of DSA and region as units of allocation (PDF - 6 MB) (2/1/2021)
• Six-month monitoring report available for removal of DSA and region as units of allocation (PDF - 8 MB) (10/18/2020)
• Two-month monitoring report available for removal of DSA and region as units of allocation (PDF - 2 MB) (4/27/2020)

Current scores

• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 3 MB) (09/2025)

Previous scores

• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 3 MB) (03/2025)
• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 2 MB) (09/2024)
• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 2 MB) (03/2024)
• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 2 MB) (09/2023)
• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 2 MB) (03/2023)
• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 2 MB) (09/2022)
• Median MELD at Transplant Around Liver Donor Hospitals and Median PELD at Transplant Within the Nation (PDF - 3 MB) (06/2022)
• Median MELD at Transplant by 250 Nautical Mile Circles Around Liver Transplant Programs and Median PELD at Transplant Within the Nation (PDF - 376 KB) (03/2022)
• MTS comparison (03/2022)
• Updated monitoring report available for liver, intestine policy (PDF - 2 MB) (9/2021)
• Median MELD at Transplant by 250 Nautical Mile Circles Around Liver Transplant Programs and Median PELD at Transplant Within the Nation (PDF - 447 KB) (10/2021)
• MTS comparison (10/2021)
• Median MELD at Transplant by 250 Nautical Mile Circles Around Liver Transplant Programs and Median PELD at Transplant Within the Nation (PDF - 459 KB) (03/2021)
• Median MELD at Transplant by 250 Nautical Mile Circles Around Liver Transplant Programs and Median PELD at Transplant Within the Nation (PDF - 445 KB) (9/2020)
• Median MELD at Transplant by circles reference effective March 25, 2020 (PDF - 450 KB) (3/9/2020)

• Frequently Asked Questions: Calculate Median MELD at Transplant (MMaT) around the Donor Hospital and Update Sorting within Liver Allocation (PDF - 168 KB) (PDF: 06/2022)
• NLRB educational webinar (2/2020)
• NLRB update (10/2019)
• NLRB webinar presentation (PDF - 570 KB) (PDF: 10/2019)
• NLRB for review board members (4/2019)

NLRB and liver distribution-related policy notices

• 6-month monitoring report on HCC exception and diagnosis code updates (PDF - 1 MB) (8/2025)
• Guidance for Multivisceral Transplant Candidates One-Year Monitoring Report (PDF - 1 MB) (3/2025)
• National Liver Review Board Enhancements Monitoring (PDF - 2 MB) (3/2025)
• Median MELD at Transplant Around the Donor Hospital Two-Year Monitoring Report (PDF - 5 MB) (3/2025)
• National Liver Review Board Two Year Post-Acuity Implementation Report (PDF - 2 MB) (7/2022)