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Pooled Platelets Billing


tolbs1010

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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

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  • 11 years later...

This is an old topic: in case anyone else has the same question, we no longer used pooled platelets but billing for them used to be P9031 x 5 since the hospital is buying 5 units of platelets and then paying a processing fee to have them pooled.  You should be able to verify this with the blood bank you are purchasing from.  We also used CPT 86965 to pass the cost of pooling on to the insurance/patient; otherwise, the hospital would have to write off the charge since we are paying the blood provider for the service.

Nearly everyone that I'm aware of is no longer using pooled platelets, however; pheresis units have been preferred and in use for a very long time now.

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