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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses coding questions in cardiovascular surgery related to plasma exchange and extracorporeal photopheresis. It explains the general reporting framework for the procedure and related separately billable supplies or infusions, and it is aimed at coders and billing professionals working with CPT and HCPCS Level II code reporting.

Why This Topic Matters

Accurate reporting of these services affects how complex apheresis encounters are captured and whether related items are billed separately or bundled under the applicable procedure code.

Article Sections

  1. May 2018 page 10a

    A short Q&A item from CPT Assistant covering cardiovascular surgery coding topics for apheresis-related services and associated drug or supply reporting.

What You Will Learn

  • How the article frames reporting questions for plasma exchange and extracorporeal photopheresis
  • What broad categories of services are discussed in relation to separately reported infusions or supplies
  • Which coding systems are involved in the guidance discussion
  • How the article presents guidance for cardiology-related apheresis billing scenarios

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Revenue cycle professionals
  • Healthcare compliance staff

Codes Discussed


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