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blood transfusion(s) during hemodialysis

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aheeralal

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Newark, OH
Do you charge for (code) blood transfusions that are administered during hemodialysis (HD)? Is assigning modifier 59 to 36430 appropriate because it isn't a "distinct procedure" since it was given during HD. Thoughts?
 
I wonder if there is an add-on code for BT during hemodialysis. I looked in Codify for an add-on code but found none. I only found this:

Modifier 25 can be used with separately identifiable E/M service, unrelated to the hemodialysis procedure provided on the same day.
 
Blood transfusion is part of hemodialysis and it should be considered as an inclusive service.

"Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally transfusing the blood back into body. Along with performing hemodialysis, the same provider may also carry out an E/M service related to the dialysis on the same day, which is also included in this code."
 
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