If the blood transfusion for a SNF Part A resident was done on a hospital inpatient basis or as part of emergency treatment in the emergency department, it would be billed by the hospital.  Blood transfusions given on an outpatient basis are not excluded from consolidated billing and therefore must be billed by the SNF.

This is the authoritative source for consolidated billing information:  http://www.cms.hhs.gov/manuals/pm_trans/R92CP.pdf

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: Blood transfusions
Date: 3/15/04 6:01:26 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
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RENA ,I asked earlier but had no response.If my MED A patient goes to acute care for a blood transfusion.Is this service bundled back to SNF.?My financial person tells me,we have never needed to pay such a bill.He tells me he is still awaiting the new HCPCS codes for 2004.He went into the codes and found 2 codes for transfusions, one code 36430 is bundled back to us,one code 36440 is excluded.He couldn't see why there were 2 codes,one we pay,one we don't.I can only assume the hospital is coding for the exclusion.My facility is north of Boston and it took months before the free standing units for chemo and radiation started billing us.Would this be the same situation with transfusions?





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