Billing

Can DAT be billed for AHG, IgG and C3, if DAT is positive? Can 86880 be used for all 3?

Building an epic test make our send outs easier. I have a CPT code for this as 81403. My billing guy is asking for a DEX Z code. This is going to Vitalant for workup but they're not located in the DEX website. I've reached out to Vitalant directly but nothing yet. How do you have your HEAs set up to bill in Epic?

Hello, We are trying to set up our billing for reconstituted units and I am wondering how others approach this. Do you bill for a Whole Blood unit? What HCPCS is utilized?

Hi Everyone, do you have a billing code(s) for TEG 6S?

Hey everyone! My lab director seems to think we need to keep the packing slips from ARC for 10 years. Why would we do this? She checks the billing and makes sure everything is correct. Why keep them after the billing is checked? Anyone have any thoughts?

I am sure this topic is somewhere else but I have not been unable to find it for my question. Currently my organization drops an unit antigen charge when testing. If the unit is returned and issued to another patient they do not drop another charge. This is tedious to track and is often missed. I have been told by two other organization that they drop an antigen charge every time the unit leaves the blood bank. I am unable to find anything that gives me the correct way to charge but I do not want to go the other way and be in violation of CMS. Does anyone know the rule for this and where I can find documentation? Thank you in advance.

Our blood supplier is shortly going to be introducing FFP Riboflavin treated, and Apheresis plasma Riboflavin treated. We have been told that the ISBT codes to use are EA435 and EA436. Does anyone know what the ISBT codes are these products when they are thawed or aliquoted? I do not have access to the ICCBBA website so I cannot check on there.

Is there a HCPCS code (P code) to charge for platelets that are leuko-reduced, irradiated, and washed?

Hello, How would a hospital blood bank request reimbursement for pooled platelets that come pre-pooled from the blood provider? (pool of 5) If one were to use HCPCS code P9031 (Platelets, leukocytes reduced, each unit) as articles have suggested, does one bill for each portion of the pool? I've also read that hospital blood banks can bill a CPT code for the pooling even though the blood provider performed the pooling. Is there anyone who is currently billing for these products that can provide some clarity? Thanks in advance

Hello, I searched the forum but the last time this topic was covered was in 2010. I am helping to build a blood bank system and am reviewing all of the charges associated with testing. I noticed that this organization only bills for the professional fee associated with a reaction. I have been told that we cannot charge for the actual workup due to CMS reimbursement but others have stated that we should be charging for testing. If so, should we charge a flat fee or charge for each test?

Greetings - we are reviewing our billing practices for washed RBCs. I cannot find any P codes for washed RBCs outside of frozen/deglycerolized red blood cells. How are others billing for washing of RBC units? Is P9057 only a proper match if the product was frozen and deglycerolized? Many thanks in anticipation of your guidance.

We will soon be receiving pathogen reduced SDP platelets and LDVS SDP platelets from our supplier. I need to get billing squared away. P9073 looks like the correct code for pathogen reduced platelets. I do have 2 questions: 1) What code(s) are you using for HLA matched pathogen reduced platelets? 2) Are you using a code to recover the charge from your supplier for the LDVS testing surcharge on SDP and irradiated SDP? Thanks!

How do you charge for CMV negative when a patient requires it. Is there a separate CPT code for this? Thank you

We do DTT treatment of our screening cells on our Darzalex patients. I was wondering how people bill for this. Is there a CPT code for this?

Is there a HCPCS code (P code) to charge for platelets that are leuko-reduced, irradiated, and washed?

Here is a scenario regarding autologous donation for patients with antibodies to high incidence antigens for blood center. Upon freezing, procedure code CPT-86932 is billed for freezing and thawing preparation When the product is used, product code P9039(deglyc) or P9054(frozen+washed) is billed for freezing and deglycerolization. At this point, does 96932 needed to be refunded, since this autologous donor has already been billed for freezing procedure code?

Can anyone suggest a CPT for a prewarm screen/panel? Do you charge the same as a regular screen? Thanks!

How do you bill for plasma reduced or HCT adjusted RBCs? It's a very tedious process for our pediatric BB, but we're being told there is no billing code so it's billed and in turn does not get included in productivity

Any users out there from a trauma center using liquid plasma? If so, what HCPCS code are you using to bill for the product. From the P codes that I reviewed in the 2010 HCPCS Level II all make reference to plasma that are either frozen within 8 hrs or within 8-24 hrs from collection. Our Blood Bank vendor will be manufacturing the product from whole blood and the plasma will be refrigerated.

When and ABID cannot be completed with the available methods in-house, patient samples are sent to a reference laboratory. Hospital receives a bill from the reference laboratory based on the complexity. Does anyone have any experience on how to properly pass these charges on to patients? Thanks

If you search for antigen negative units or do consultation for another facility how do you determine what and how to charge for antigen typing? Do you calculate how much a drop of antisera costs and pass that on? Are there any guidelines on how to charge? Thanks

Anyone using Sunquest have any information on how you have set-up charging for irradiated products that are not specifically ordered on a patient? We have irradiated red cells that we will transfuse to patients that were not ordered for irradiation. We would then need to manually credit the irradiated product and charge the non-irradiated product. Can you give me insight into how you did this easily in Sunquest? Thanks!!

Is there a way to charge for a Fetal Screen as part of a RhIG evaluation?

Will anyone who is willing explain how they apply charges when these products are transfused to their neonates and what codes are utilized? Thanks in advance.

Can anyone explain the difference to me between the P9039 and P9057 code? Can you charge for both of these? P9039 = Red blood cells, deglycerolized, each unit P9057 = Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit