2025 CPT code 36460

Transfusion, intrauterine, fetal

Do not report modifier 63 with 36460. Use 76941 for radiological supervision and interpretation. Ultrasound guidance should be reported separately.

Modifiers may apply. Refer to the provided list and current CPT guidelines for proper usage.

Medical necessity must be clearly documented and should justify the need for the intrauterine transfusion. This may include fetal anemia, blood loss, or a diagnosed condition requiring blood support.Supporting diagnostic reports, such as ultrasound findings and blood tests, should be included.

The physician is responsible for prepping and anesthetizing the patient, performing the ultrasound-guided needle insertion into the umbilical vein, inserting and confirming placement of the catheter, transfusing the blood, removing the catheter, and administering antibiotics.

In simple words: This procedure involves giving a blood transfusion to a baby still in the womb.The doctor uses ultrasound to guide a needle through the mother's belly and into the baby's umbilical cord. A small tube is then used to give the baby blood.The mother is also given antibiotics to prevent infections.

This code describes a procedure where a physician performs a blood transfusion on a fetus in utero by inserting a needle through the mother's abdomen, guided by ultrasound, into the umbilical vein.A catheter is then inserted, and blood is transfused.Antibiotics are typically administered to prevent infection.

Example 1: A fetus with severe anemia due to Rh incompatibility requires a blood transfusion to survive until delivery., A fetus experiencing significant blood loss due to a placental abruption necessitates an emergency intrauterine transfusion., A fetus with a genetic blood disorder requires regular intrauterine transfusions to maintain a safe blood count.

Documentation should include ultrasound guidance confirmation, details of the transfusion (amount, type of blood product), antibiotic administration, and any complications encountered during the procedure.

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