Oncology & Hematology Coding Alert
Supply May Be Key to Transfusion Payment
Question: Should I report 36430 twice if we supply both packed red blood cells and fresh frozen plasma? Montana Subscriber Answer: No. You should report only one unit of 36430 (Transfusion, blood or blood components). Heres why: AMAs CPT Assistant (March 2001) says to report 36430 only one time per transfusion, regardless of how many units are administered. Bonus support: CMSs medically unlikely edits (MUEs) list a limit of 1 for 36430, meaning thats the maximum number of units the majority of patients should require. Dont forget: Report the blood products if you supply them. For example, if you supply one unit of packed red blood cells, report one unit of P9021 (Red blood cells, each unit). And for one unit of plasma, report the appropriate code, such as P9017 (Fresh frozen plasma [single donor],frozen within 8 hours of collection, each unit). If you dont supply and code both the transfusion and blood product, payers may not offer reimbursement.
Oncology & Hematology Coding Alert
- Case Study:
Tackle This Infusion Coding Service Successfully From Start to Finish
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Shine the Spotlight on Multiple Myeloma ICD-9 Coding
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Code Scope Based on Exam or Entry Site?
Question: A patient presented for a larynx examination to see how shes responding to treatment, [...] - READER QUESTIONS:
Multiple Codes Cover Port-a-Cath Malfunction
Question: Which diagnosis code is appropriate for malfunctioning of a Port-a-Cath? Is it a V [...] - READER QUESTIONS:
Treat 2 Areas, Double Neoplasm Dx
Question: Which diagnosis codes should I report when a patient presents for radiation therapy treating [...] - READER QUESTIONS:
Follow 'Quality' Examples for HPI
Question: Can we use the patients diagnosis as quality under HPI? Maryland Subscriber Answer: No. [...] - READER QUESTIONS:
New to Blood Draw Coding? Read This
Question: We normally draw a patients blood and do a CBC in our office. Recently [...] - READER QUESTIONS:
Link Lactated Ringer's to J7120
Question: Which HCPCS code should I report for a lactate ringer bag? Louisiana Subscriber Answer: [...] - READER QUESTIONS:
Supply May Be Key to Transfusion Payment
Question: Should I report 36430 twice if we supply both packed red blood cells and [...] - READER QUESTIONS:
Choose 77427 -- Not E/M -- for Weekly Check
Question: Ive just started coding radiation oncology and heard the oncologist can bill an E/M [...] - Clarification:
Expand Your Med Options With Torisel, Treanda Codes in Oncology and Hematology Coding Alert, Vol. [...]
