Compatibility testing using antiglobulin for blood transfusion

Description

This procedure involves testing the compatibility of a donor blood unit with a patient's serum using an antiglobulin technique. It is essential to ensure that the transfused blood will not cause an adverse reaction in the recipient.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

$171.36

Calculation:

x=$171.36

Patient Copayment / Coinsurance

$34.28

Calculation breakdown:

Minimum (20% of rate)$34.28

Top Modifiers

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HCPCS/CPT 26Professional component of diagnostic services(21.25%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(5%)

HCPCS/CPT 91Repeat clinical diagnostic laboratory test performed on the same day(3.75%)

HCPCS/CPT 90Reference laboratory services performed by an outside laboratory(2.5%)

HCPCS/CPT GVAttending physician not employed by hospice provider(2.5%)

HCPCS/CPT XUUnusual non-overlapping service(1.25%)

HCPCS/CPT XESeparate encounter on the same date of service(1.25%)

HCPCS/CPT PDDiagnostic services provided in a wholly owned entity for inpatient admissions(1.25%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)