AHA Coding Clinic® for HCPCS - 2005 Issue 2

CMS adds section for billing policies regarding blood and blood products

Section 231, Billing and Payment for Blood and Blood Products under the Hospital Outpatient Prospective Payment System, has been created and added to the Medicare Claims Processing Manual, Pub. 100-04, Chapter 4, to provide and clarify billing instructions for blood and blood products under the OPPS. Section 231 includes billing instructions regarding the use of new HCPCS modifier BL, billing policies on billing for autologous blood and directed donor blood, split units of blood, irradiation of blood products, frozen and thawed blood and blood products, unused blood, transfusion services, pheresis and apheresis services, and correct coding initiative edits. Providers...

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