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US · guidance

CMS Pub. 100-04, ch. 4, § 231.8

Billing for Transfusion Services

activein force · 2026-08-25 – presentas-observed

To report charges for transfusion services, OPPS providers should bill the appropriate

CPT code for the specific transfusion service provided under Revenue Code 391 (Blood

Administration). Transfusion services codes are billed on a per service basis, and not by

the number of units of blood product transfused. For payment, a blood product HCPCS

code is required when billing a transfusion service code. A transfusion APC will be paid

to the OPPS provider for transfusing blood products once per day, regardless of the

number of units or different types of blood products transfused.

History

(Rev. 496, Issued: 03-04-05, Effective: 07-01-05, Implementation: 07-05-05)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
77a8b5d240a627a9e11e2f6ef2655767a43f1cacfd0fb4ef1f9ba84293145e15
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