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36440

Push transfusion, blood, each unit

Surgery Hemic and Lymphatic Systems 1.66 Total RVUs
Quick Reference
Push transfusion of blood using syringe push method, each unit

Relative Value Units (RVUs)

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Work RVU
0.40
Physician effort
PE RVU
1.20
Practice expense
MP RVU
0.06
Malpractice
Total RVU
1.66
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

Push transfusion of blood using syringe push method, each unit

Time Requirement
Variable based on volume

Common Scenarios

Push blood transfusion
Syringe push transfusion
Rapid blood transfusion
Push transfusion each unit
Manual blood push

Documentation Requirements

  • Each unit documented
  • Method of push documented
  • Volume transfused documented
  • Patient response to transfusion documented

Coding Guidelines

Common Modifiers

59 Distinct procedural service when multiple procedures performed
91 Repeat clinical diagnostic laboratory test, same day

Bundling Rules

  • Billed per unit
  • Push method only
  • Includes monitoring

Exclusions

  • Do not bill with standard transfusion (36430)
  • Do not bill blood product codes separately

Coding Notes

Common for rapid transfusion
Push method
Billed per unit

Clinical scenarios

Push blood transfusion
Push blood transfusion
When to use:Push transfusion of blood using syringe push method, each unit
  • Each unit documented
  • Method of push documented
  • Volume transfused documented
Syringe push transfusion
Syringe push transfusion
When to use:Push transfusion of blood using syringe push method, each unit
  • Each unit documented
  • Method of push documented
  • Volume transfused documented
Rapid blood transfusion
Rapid blood transfusion
When to use:Push transfusion of blood using syringe push method, each unit
  • Each unit documented
  • Method of push documented
  • Volume transfused documented

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Code Details

Code 36440
Category Surgery
Subcategory Hemic and Lymphatic Systems
Total RVUs 1.66

Medicare Pricing

PFS
2025 National Rate
$47.23
Facility
$47.23
Non-Facility
$47.23
RVU Breakdown
Work RVU:1.03PE RVU:0.37MP RVU:0.06Total RVU:1.46CF:$32.3465Global Days:XXX
OPPS Details
APC:5241Status:SCopayment:
Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 36440?

CPT 36440 is the billing code for "Push transfusion, blood, each unit". Push transfusion of blood using syringe push method, each unit

How much does Medicare pay for CPT 36440?

Medicare pays approximately $47.23 for CPT 36440 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

What are the RVUs for CPT 36440?

CPT 36440 has a total RVU of 1.66, broken down as: Work RVU 0.40, Practice Expense RVU 1.20, and Malpractice RVU 0.06. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 36440?

Key documentation requirements for CPT 36440 include: Each unit documented; Method of push documented; Volume transfused documented; Patient response to transfusion documented. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 36440 be billed with other codes?

Bundling considerations for CPT 36440: Billed per unit. Push method only Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 36440?

Common modifiers for CPT 36440 include: 59 (Distinct procedural service when multiple procedures performed), 91 (Repeat clinical diagnostic laboratory test, same day). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 36440?

The typical time requirement for CPT 36440 is Variable based on volume. Time-based codes require documentation of the actual time spent providing the service.

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