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CodeMap Compliance Briefing: 5/07/2004

Editor's Welcome

A number of questions have been submitted by our readers regarding coding and reimbursement for blood bank services. This briefing will begin a series on how Medicare pays for blood products and transfusion services. As always, please continue to email your questions to us. We are always looking for ideas for future CodeMap Compliance Briefings.

Sincerely,

Charles B. Root, Ph.D.

Medicare Reimbursement for Blood and Blood Products

When a hospital purchases blood or blood products from a community blood bank, or runs its own blood bank and charges for the blood or blood product, the blood and blood products are billed using revenue codes 0380 through 0389 (Blood Products) along with the appropriate HCPCS code. The amount billed should reflect the hospital's charge.

When a hospital does not pay for the blood or blood product, it usually incurs an administrative cost from a blood bank. In this case, the hospital bills the administrative or processing charge using revenue code 0390 ....

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