We are having to adjust our billing to conform to CMS guidlines. Currently for an Irradiated Red Cell we bill for the Red Cell, then for the Irrdiation. CMS says that they only want one bundled charge, which is ok for the irradiated. This becomes more of an issue when we consider CMVnegative. We will be going to ISBT in summer 2011. Once we get there, ISBT does not have a "Product type" for ILRC CMV (Irradiated Leukoreduced Red Cells CMV negative. So how are other people handling these "bundle charges" on CMVN ISBT products.