How do hospitals bill for blood that is purchased from a blood bank that reflects more than a processing and storage charge?
If an Outpatient Prospective Payment System (OPPS) provider pays for the actual blood or blood product itself, in addition to paying for the processing and storage costs when blood or blood products are supplied by either a blood bank or the OPPS provider’s own blood bank, the OPPS provider must separate the charge for the blood or blood products from the charge for the processing storage services. The OPPS provider reports the charges for the blood or blood product itself using Revenue Code series 038X with the line item date of service (LIDOS), the number of units transfused, and the appropriate blood product HCPCS code and HCPCS modifier BL. The charges for processing and storage services are reported on a separate line using either Revenue Code 0390 or 0399 with the LIDOS, the number of units transfused, and the appropriate blood product HCPCS code and HCPCS modifier BL. Whenever an OPPS provider reports a charge for blood or blood products using Revenue Code 038X, the OPPS provide
If an OPPS provider pays for the actual blood or blood product itself, in addition to paying for processing and storage costs when blood or blood products are supplied by either a community blood bank or the OPPS providerâ s own blood bank, the OPPS provider must separate the charge for the unit(s) of blood or blood product(s) from the charge for processing and storage services. The OPPS provider reports charges for the blood or blood product itself using Revenue Code series 038X (excluding 0380, which is not a valid revenue code for Medicare billing) with the LIDOS, the number of units transfused, and the appropriate blood product HCPCS code and HCPCS modifier BL. The OPPS provider reports charges for processing and storage services on a separate line using Revenue Code 0390, 0392, or 0399 with the LIDOS, the number of units transfused, and the appropriate blood product HCPCS code and HCPCS modifier BL. The same LIDOS, the same number of units, the same HCPCS code, and HCPCS modifier
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