Hello everyone. I am working on the billing for a new LIS and I would like to know what others are doing. Do you charge CPT 36430 for all transfusions (adult and neonate) or do you use CPT 36430 for non-neonatal transfusions and CPT 36440/CPT 36450 for neonatal transfusions?
36430 – Transfusion, blood or blood components
36440 – Push transfusion, blood 2 years and under
36450 – Exchange transfusion, blood, newborn
Hello everyone! I work in a transfusion service where we do NOT give ABO identical platelets and we give only 1 group O platelet every 24 hours. What is the titer limit for Anti-A in group O platelets? Has anyone heard of a study where Anti-A and/or Anti-B were titered in non-O platelets?
Do you take temperature of platelets when received from outside blood supplier?
Do you take temperature of platelets if they were issued for transfusion but then returned because order cancelled or IV problems or....?
What is your acceptable temperature ranges? Current AABB states "Storage 20-24C" and "Transport As close as possible to 20-24C". The "as close as possible" seems a bit ambiguous and confusing as to setting a policy that the techs can follow.
Thanks for your input.
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?
Question: Do you bill for all crossmatches performed? Or only the ones that were ordered?
Example: 1 RBC is ordered. Patient has a an antibody. You grab 4 units and crossmatch through Coombs. You then antigen type the compatible units. Do you bill for four XMs? Or just one? What about antigen typing? Four units? Or just one?
We used to bill for all work done. Then someone told my director that we could only bill for what was ordered or it was medicare fraud.... but, I feel like that is not applicable to patients with antibodies that require much more work to find compatible blood.