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The CPT® Code 86891 refers to a laboratory procedure that involves the collection, processing, and storage of autologous blood or its components, specifically during intra-operative or post-operative settings. Autologous blood is defined as blood that is collected from the patient themselves, which can include whole blood or specific components such as red blood cells, leukocytes, and platelets. This procedure is particularly beneficial as it allows for the preparation of blood products that are specifically labeled for the individual patient, thereby eliminating the need for the extensive screening and testing that is typically required for blood intended for general supply use. Patients have the option to donate their blood as early as 42 days prior to a scheduled surgical procedure, and they may continue to donate on a weekly basis, provided they remain hemodynamically stable. The primary advantage of utilizing autologous blood products is the significant reduction in the risk of transfusion reactions and the potential transmission of infectious diseases, which are concerns associated with allogeneic blood transfusions. The process of collection involves gathering blood or blood components from a wound, body cavity, or drainage tube into a reservoir until a sufficient volume is achieved. Once collected, the salvaged blood undergoes processing, which includes centrifugation to concentrate the components and washing with an isotonic solution, typically saline. Finally, the processed blood is transferred into a transfusion bag, making it ready for immediate use or for later transfusion back into the patient.
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The procedure described by CPT® Code 86891 is indicated for patients who are undergoing surgical procedures where there is a potential need for blood transfusion. The specific indications include:
The procedure for CPT® Code 86891 involves several critical steps to ensure the safe and effective collection, processing, and storage of autologous blood or its components. The steps are as follows:
After the procedure associated with CPT® Code 86891, patients may experience a period of monitoring to ensure that they are hemodynamically stable and that there are no complications from the blood collection process. The autologous blood products can be transfused back into the patient as required, either immediately during the surgical procedure or at a later time if needed. It is essential to maintain proper storage conditions for the blood components to ensure their viability and safety for transfusion. Additionally, healthcare providers should document the collection and processing details accurately to ensure compliance and facilitate any future transfusions.
| Short Descr | AUTOLOGOUS BLOOD OP SALVAGE | Medium Descr | AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE | Long Descr | Autologous blood or component, collection processing and storage; intra- or postoperative salvage | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | 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) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 235 - Other Laboratory |
| 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. | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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 |
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| 2013-01-01 | Changed | Removed parenthetical guidelines per AMA 2013 corrections document. |
| 2011-01-01 | Changed | Short description changed. |
| 1993-01-01 | Added | First appearance in code book in 1993. |
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