Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 100.3
Procedures Not Subject to Fee Schedule When Billed With Blood
100.3 - Procedures Not Subject to Fee Schedule When Billed With Blood
Products
(Rev. 1, 10-01-03)
The following codes are not subject to fee schedule limitations when submitted for
payment on the same bill with charges for blood products. Rather, assume they are to be
used for blood matching and not for diagnostic purposes.
Codes: 86901, 86905, 86930-86932, 86920-86922, 86890, 86870, 86891, 86880-86886,
86971, and 86930.
If no blood product is provided and billed for on the same claim, assume the codes are
diagnostic and subject to the clinical laboratory fee schedule.
The shared system provides for this processing.