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The procedure described by CPT® Code 86965 involves the pooling of platelets or other blood products. This process is essential in transfusion medicine, where individual units of blood, which may come from different donors, are combined to create a concentrated dose of platelets or other blood components. The pooling is performed to ensure that the patient receives an adequate quantity of platelets or blood products, which can be critical in various medical situations, such as during surgeries, for patients with low platelet counts, or in cases of significant blood loss. By pooling these components, healthcare providers can enhance the efficacy of transfusions, improve patient outcomes, and ensure that the necessary therapeutic levels of platelets or blood products are achieved. This procedure is particularly important in managing conditions that require increased platelet levels, such as thrombocytopenia or during chemotherapy treatments that affect blood cell production.
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The pooling of platelets or other blood products is indicated in several clinical scenarios where a patient requires a concentrated dose of these components. The following conditions may warrant this procedure:
The procedure for pooling platelets or other blood products involves several critical steps to ensure safety and efficacy. The following outlines the procedural steps:
After the pooling procedure, the pooled platelets or blood products are typically transfused to the patient. Post-procedure care includes monitoring the patient for any adverse reactions to the transfusion, such as allergic reactions or transfusion-related complications. Healthcare providers will observe the patient for signs of improvement in platelet levels and overall condition. Additionally, documentation of the transfusion, including the source of the pooled products and the patient's response, is essential for compliance and future reference. Patients may also require follow-up blood tests to assess the effectiveness of the transfusion and to monitor for any potential complications.
| Short Descr | POOLING BLOOD PLATELETS | Medium Descr | POOLING PLATELETS/OTHER BLOOD PRODUCTS | Long Descr | Pooling of platelets or other blood products | 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 |
| 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. | 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. |
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| 2011-01-01 | Changed | Guideline information changed. |
| 1993-01-01 | Added | First appearance in code book in 1993. |
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