AMA CPT® Assistant - 2018 Issue 5 (May)

Surgery: Cardiovascular System (Q&A) (May 2018)

May 2018 page 10a Surgery: Cardiovascular System Question: Replacement of plasma volume is required during therapeutic plasma exchange. How should these additional services be reported? Answer: Patients who are undergoing plasma-exchange treatments require simultaneous replacement of the volume of plasma removed. The plasma-exchange treatment using albumin in saline (5% albumin) and/or fresh frozen plasma (FFP) may be reported with code 36514, Therapeutic apheresis; for plasma pheresis. The agent used for colloid-volume replacement may be reported separately with the appropriate Healthcare Common Procedure Coding System (HCPCS) Level II code(s) (eg, P9047, Infusion, albumin (human), 25%, 50 ml, J7100, Infusion, dextran...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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