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The CPT® Code 86077 refers to the services provided by a blood bank physician, specifically focusing on the complex task of conducting a difficult crossmatch and evaluating irregular antibodies. This procedure is critical in ensuring the safety and compatibility of blood transfusions. The physician meticulously analyzes a batch of donated blood intended for infusion into a patient, assessing various factors that could affect the success of the transfusion. This includes determining the compatibility of the blood type between the donor and the recipient, as well as identifying any unusual antibodies present either in the patient's bloodstream or within the donated blood itself. The findings from this analysis are compiled into a comprehensive written report, which serves as a formal documentation of the physician's evaluation and recommendations. It is important to note that if the physician encounters unusual occurrences after the blood has been infused, such as potential disease transmission, a different code (CPT® 86078) should be utilized. Additionally, if the physician must authorize the use of blood that does not meet standard procedures, such as being past its shelf life or mismatched in blood type, CPT® 86079 would be the appropriate code to use.
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The procedure associated with CPT® Code 86077 is indicated in specific scenarios where there is a need for thorough evaluation and analysis of blood compatibility prior to transfusion. The following conditions warrant the use of this code:
The procedure for CPT® Code 86077 involves several critical steps to ensure the safety and efficacy of blood transfusions. Each step is essential for the accurate assessment of blood compatibility.
Post-procedure care following the evaluation associated with CPT® Code 86077 typically involves monitoring the patient for any adverse reactions to the transfusion. The physician may provide specific instructions based on the findings of the crossmatch and antibody evaluation. It is essential to ensure that the patient is observed closely during and after the transfusion process to promptly address any complications that may arise. Additionally, the written report generated by the physician serves as a critical document for future reference and for any necessary follow-up care.
| Short Descr | PHYS BLOOD BANK SERV XMATCH | Medium Descr | BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP | Long Descr | Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T1G - Lab tests - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 227 - Other diagnostic procedures (interview, evaluation, consultation) |
| GC | This service has been performed in part by a resident under the direction of a teaching physician | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | Q3 | Live kidney donor surgery and related services | 90 | Reference (outside) laboratory: when laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number. | GZ | Item or service expected to be denied as not reasonable and necessary | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | CR | Catastrophe/disaster related | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 91 | Repeat clinical diagnostic laboratory test: in the course of treatment of the patient, it may be necessary to repeat the same laboratory test on the same day to obtain subsequent (multiple) test results. under these circumstances, the laboratory test performed can be identified by its usual procedure number and the addition of modifier 91. note: this modifier may not be used when tests are rerun to confirm initial results; due to testing problems with specimens or equipment; or for any other reason when a normal, one-time, reportable result is all that is required. this modifier may not be used when other code(s) describe a series of test results (eg, glucose tolerance tests, evocative/suppression testing). this modifier may only be used for laboratory test(s) performed more than once on the same day on the same patient. | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GX | Notice of liability issued, voluntary under payer policy | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2013-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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