AHA Coding Clinic® for HCPCS - 2006 Issue 1; FOR your INFORMATION

Billing for therapeutic apheresis

Therapeutic apheresis treats a variety of disorders by modifying or selectively removing agents from the blood and returning that blood to the patient. These services are appropriately described by CPT codes 36515, Therapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion, 36516, Therapeutic apheresis; with extracorporeal selective adsorption or selective filtration and plasma reinfusion, and 36522, Photopheresis, extracorporeal. Hospitals should report the CPT codes 36515, 36516, and 36522 that most accurately describe the service that is provided. CMS has provided additional billing instruction for these codes as follows: When billing CPT code 36515 to report extracorporeal immunoadsorption treatment and plasma...

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