- About the Blood Code
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- Culture, Blood | Quest Diagnostics
- Type O blood, Rh positive
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Using the correct combination of codes is the key to minimizing delays in claims processing. Please ensure that revenue codes and procedure codes reflect the diagnoses and services rendered. Third-digit subcategories for the revenue code are included in the UB manual. The matrix below depicts commonly billed services and acceptable code ranges that correspond to HMSA's claims processing requirements for blood transfusion services. The matrix represents a range of possible combinations and should not be viewed as comprehensive. Incidental drugs and supplies are used to deliver the service.
These items are included in the administration fee and are not reimbursed separately. Note: It may be helpful to print the sample claim, then return to this page.
CPT code transfusion, blood or blood components may be billed as a separate line item when the service is performed in conjunction with an emergency room visit. Laboratory services for blood transfusion are considered part of the all-inclusive rate. This holds true even if the blood work is done the day before the actual transfusion.
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When submitting a claim for a 65C Plus member, revenue code must always be billed with revenue code Test Resources None found for this test Please visit our Clinical Education Center to stay informed on any future publications, webinars, or other education opportunities. Methodology Chromatography. This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA.go
About the Blood Code
This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes. Service Area must be determined. Test Details. Clinical Significance. Test Resources. Whenever there is a charge for the blood, there must be a corresponding charge for processing. Both charges must use the BL modifier and have the same line item date of service.
If the charge per pint varies, the amount shown is the sum of the charges for each un-replaced pint furnished.
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If all deductible pints have been replaced, this code is not to be used. When the hospital gives a discount for unreplaced deductible blood, it shows charges after the discount is applied. Blood is reported only in terms of complete pints rounded upwards, e. This entry serves as a basis for counting pints towards the blood deductible. If all deductible pints furnished have been replaced, no entry is made. Where one pint is donated, one pint is considered replaced. If arrangements have been made for replacement, pints are shown as replaced. Where the hospital charges only for the blood processing and administration, i.
In such cases, all blood charges are shown under the X revenue code series blood administration or under the X revenue code series laboratory. Question: For outpatient autologous transfusions should we bill CPT at the time of collection for the collection fee? Answer: Billing CPT code or is permitted only in the hospital outpatient setting when the autologous blood is collected but not transfused.
For transfused autologous blood, Medicare states that hospitals must be certain that the blood is not transfused and instructs providers to bill on the transfusion date or date of outpatient discharge, not on the date the autologous blood was collected. The facility would not bill or as the payment amount for the blood product code includes the collection, processing, transportation, and storage.
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If the patient does not receive the autologous unit, the facility may bill CPT code for the collection of the autologous unit on the date of the scheduled procedure or outpatient discharge. This code may be reported only in the hospital outpatient setting. The appropriate Revenue Code would be laboratory or Immunology. Question: How do we bill for autologous units for patient when the blood is collected as an outpatient but later transfused as an inpatient.
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- Billing for Blood and Transfusion Services: Frequently Asked Questions and Answers.
- ICDCM Diagnosis Code Z Type O blood, Rh negative.
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Should we bill HCPCS P for the transfusion service charges retype, special inventory, storage in addition to the original collection fees or should we build the transfusion service charges into CPT and not bill P at all? Answer: Even if the autologous unit was collected within 72 hours of admission and transfused as an inpatient service, all charges patient testing and product collection and processing are included under the DRG payment.
Culture, Blood | Quest Diagnostics
The facility would not bill for the autologous collection and processing as the payment for these services is included in the pricing for P If the autologous unit is collected within 72 hours of admission, all services are included under the DRG. Question: If autologous blood is transfused, can you charge for the transfusion, for the autologous blood and a P-code for the particular component ex.
RBC, P? Answer: When autologous blood is transfused in the hospital outpatient setting, the facility may bill for the transfusion service with the appropriate product code times the number of units transfused. It is incorrect to bill Autologous blood or component, collection processing, and storage; predeposited as the payment for the product includes the collection processing and storage. CPT is billed on hospital outpatient claims only when autologous blood is not transfused.
This should be billed on the date that the hospital is certain the unit will not be transfused CMS instructs hospital to use the date of the procedure or date of discharge. Should we bill for these units using a "P" code such as P? Question: What is the acceptable billing practice Medicare when one splits a unit of blood for pediatric transfusion? One infant may receive several aliquots from one unit of red cells or two children may each receive a half of the same unit. A platelet pheresis product may be divided for several children.
Type O blood, Rh positive
Answer: When you split a component, you bill using P for each split component transfused and CPT for each splitting procedure performed along with the transfusion code CPT if the split was transfused. However, the last aliquot left in a component "mother" bag is billed using P for the component only. It would be incorrect to bill in addition as the last portion in the bag was not "split". Since most pediatric patients are not Medicare-eligible, their payers may not necessarily have the same policies as Medicare.
The first approximately mL was expressed to a transfer bag by sterile dock. You would code the first transfusion of transfer split as P plus plus if transfused. The "mother" bag with approximately mL is later transfused to same patient and would be coded as P ONLY and if transfused. You may designate this unit for one baby and pull several splits from the unit e. You pull ten splits for the one patient leaving approximately mL in "mother bag. We are a hospital-based donor center and transfusion service.
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Which is the correct method? For leukoreduced products, is there a way to capture billing for the leukoreduction? And, if it is OK to bill both P codes, is there a written reference?