AHA Coding Clinic® for HCPCS - 2004 Issue 3

Billing for blood products and blood storage and processing

During past meetings of the Ambulatory Payment Classification (APC) Advisory Panel, there have been discussions regarding the accuracy of hospital reporting of blood and blood products. There is a concern that hospitals may not be fully reporting all the charges and services related to blood administration. In many instances, the data revealed a code for the blood or blood product administration, but a corresponding code identifying the actual product administered, and the number of units administered was lacking. Missing HCPCS and charges related to the products administered result in inaccurate reimbursement to hospitals. Lack of adequate information also impacts...

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