P9022 is the billing code for Washed Red Blood Cells. We use that and charge and irradiation fee (if needed) separately.
From the AABB Billing Guide:
P9022 Washed red blood cells unit
I would refer the insurance auditor to Medicare Claims Processing Manual Chapter 4, Section 231.7. It's right on CMS website. If your Med Exec committee and hospital policy was to crossmatch 6 units in preparation for that surgery, then that was the patient-specific preparation charges that can be billed.
231.7 - Billing for Unused Blood
(Rev. 1487, Issued: 04-08-08, Effective: 04-01-08, Implementation: 04-07-08)
When blood or blood products which the OPPS provider has collected in its own blood bank or received from a community blood bank are not used, processing and storage costs incurred by the community blood bank and the OPPS provider cannot be charged to the beneficiary. However, certain patient-specific blood preparation costs incurred by the OPPS provider (e.g., blood typing and cross-matching) can be charged to the beneficiary under Revenue Code Series 30X or 31X. Patient-specific preparation charges should be billed on the dates the services were provided.
We do the same as AuntieS. We have it written into our procedure that if a female of child bearing age is weak D, we send for molecular with no additional order from the physician. This was approved by our med exec committee and is in our reflex testing protocol so we can charge the patient for it. We scan the results into EPIC
Absolutely. We charge for every test performed working up a transfusion reaction. i.e Post transfusion DATP, repeat ABORh, ABSC and if positive, post DATG, DATC, ABID, pre DATG, DATC, and repeat crossmatching, etc.
We our own donor center and are experiencing an excess of plasma. We also discard a small percent of thawed plasma and HLA positive plasma. I was wondering if there were any companies that would purchase this type of products. Any information would be helpful. Thanks
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