2025 CPT code 36455
Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Exchange transfusion, blood; other than newborn.
Modifiers may be applicable to indicate specific circumstances of the procedure (e.g., multiple procedures, reduced services, discontinued procedures). Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity for exchange transfusion must be clearly documented.It is typically justified by life-threatening conditions related to blood abnormalities or severe jaundice where other treatments are ineffective.
The physician accesses the targeted vein, inserts a catheter, withdraws a specific amount of blood, and simultaneously introduces an equal volume of donor blood. This is performed in multiple cycles. The physician removes the catheter and ensures bleeding stops.
In simple words: This procedure replaces a patient's blood with donor blood.It's used to treat severe jaundice in patients other than newborns. The doctor removes the patient's blood and replaces it with the same amount of healthy donor blood.
This procedure involves the removal of a specific amount of blood from a patient (other than a newborn) and the simultaneous injection of an equal amount of healthy blood or plasma from a donor.It is often used to treat severe jaundice by controlling bilirubin levels in the blood.
Example 1: A patient with severe jaundice and dangerously high bilirubin levels undergoes an exchange transfusion to remove the bilirubin and replace their blood with healthy donor blood., A patient with a blood disorder requiring removal of a significant portion of their blood and replacement with donor blood or plasma receives an exchange transfusion., A patient experiencing complications from a blood transfusion undergoes exchange transfusion to quickly remove the problematic blood and minimize the reaction while replacing the lost blood.
Documentation should include the reason for the exchange transfusion (e.g., severe jaundice, blood disorder, transfusion reaction), the volume of blood exchanged, the type of donor blood or plasma used, and any complications encountered.
- Revenue Code: P1G - MAJOR PROCEDURE - OTHER
- Specialties:Hematology, Neonatology (for newborns requiring transfusions although this code excludes newborns)
- Place of Service:Inpatient Hospital, Outpatient Hospital