sbrodbeck

There is no specific P-code for any pre-pooled products. Report (charge) the number of cryo units pooled and the pooling fee. CMS has yet to catch up with pre-pooled products for reporting. The products are the same, we are just paying for a purchased service for the pooling. Still report all the same way.

Agree about the Med Exec approach. Coding convention states, report the service provided to the highest level of specificity. Many other scenarios fit in this question. How about a short dated ONeg unit that has been irradiated? Yep, you guessed it, you should report the services provided includding an irradiated unit that may have not been specifically by the phyiscian. Clinically this is important as well as reporting properly for cost accounting and claims preparation. I suggest you create a fairly extensive blood substituion policy, which most of us have it is just not formalized. This is a major step in inventory control. Sorry to highjack the topic...... :>)

This response is based on an acute care facility performing outpatient services. As mentioned by folks on this thread the Blood Bank clinical history is managed by a unique medical records number. It is very important for the admitting staff to use a "pre-admit" status for a unique financial account encounter when the patient comes in for the initial testing. If inside the appropriate timing, the patient returns for the transfsuion the "pre-admit" account is changed to an "outpatient" account. I am not aware of any HISs that don't offer this status. This would be a much more efficient approach than creating two accounts that may or may not be merged appropraitely after discharge.

Are any of you recieving orders and providing results for ABO and Rh in the general LIS just of a mechanism of pushing and pulling information? All work; patient history, reactions, blood transfusion history, unit disposition, etc would be done manually (no system for FDA validation requirments).