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The CPT® Code 86079 pertains to blood bank physician services specifically focused on the authorization for deviations from standard blood banking procedures. This code is utilized when a physician evaluates a batch of donated blood intended for transfusion into a patient. The physician's role involves a thorough analysis to ensure compatibility between the donor's blood and the recipient's blood type, as well as the identification of any unusual antibodies that may be present either in the patient's bloodstream or within the donated blood itself. Following this evaluation, the physician is required to document their findings in a written report, which serves as a formal record of the assessment and the rationale for any deviations from standard protocols. Such deviations may include the use of outdated blood or the transfusion of Rh incompatible units, which are critical considerations in ensuring patient safety during blood transfusions. It is important to note that this code should not be confused with CPT® Code 86078, which is applicable in cases where the physician investigates unusual occurrences after the blood has been transfused, such as potential disease transmission. Code 86079 is specifically designated for situations where the physician must authorize the use of blood that does not conform to standard blood banking practices.
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The CPT® Code 86079 is indicated for use in specific scenarios where there is a need for a physician's authorization regarding deviations from standard blood banking procedures. These indications include:
The procedure associated with CPT® Code 86079 involves several critical steps that the physician must undertake to ensure the safe transfusion of blood. These steps include:
After the procedure associated with CPT® Code 86079, the physician's responsibilities include monitoring the patient for any adverse reactions following the transfusion. It is essential to observe the patient closely for signs of hemolytic reactions or other complications that may arise from the use of blood that deviates from standard protocols. Additionally, the written report generated during the procedure should be retained in the patient's medical record for future reference and compliance purposes. This documentation is vital for ensuring that all deviations from standard blood banking practices are justified and that patient safety remains the top priority.
| Short Descr | PHYS BLOOD BANK SERV AUTHRJ | Medium Descr | BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT | Long Descr | Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with 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) |
| CR | Catastrophe/disaster related | 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. | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 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. | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | 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 | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 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 | Short Descriptor changed. |
| Pre-1990 | Added | Code added. |
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