The new apheresis and blood and marrow transplantation-related current procedural terminology codes for payment of apheresis and blood and marrow transplantation services

James L. Gajewski, Angela Simmons, Robert Weinstein, Edward Snyder, John McMannis, Bernard Patashnik, Samuel Hassenbusch, C. Frederick LeMaistre, Tasa Woods, Corliss Denman, Samuel Silver

    Research output: Contribution to journalArticle

    4 Scopus citations

    Abstract

    To address deficiencies in Current Procedural Terminology (CPT) codes that describe many of the clinical services offered to patients, several physicians in the blood and marrow transplantation and apheresis field joined with a coalition including the American Society of Hematology, American Society for Blood and Marrow Transplantation, American Association of Blood Banks, American Society of Clinical Oncology, American Society for Apheresis, National Marrow Donor Program, and American Red Cross to collaborate in addressing these deficiencies by designing new CPT codes. The CPT editorial panel approved 18 new or revised codes. All these codes were given permanent or temporary value by the relative value unit update committee, but not all values were approved by the Centers for Medicare & Medicaid Services (CMS), in particular, the cell-processing codes and the unrelated donor search code. Further discussions addressing these concerns are under way with the CMS. Use of these new codes allows apheresis and transplant centers to charge appropriately for these services. This will help transplant center contracts with CPT codes, with payers more specifically describing services offered to these patients. In turn, this will give better justification for payment. This may allow certain payments for services to increase and help transplant centers better allocate revenue from fixed global case rate payments. Details about the individual codes and their approval process are reviewed in this article.

    Original languageEnglish (US)
    Pages (from-to)871-880
    Number of pages10
    JournalBiology of Blood and Marrow Transplantation
    Volume11
    Issue number11
    DOIs
    StatePublished - Nov 1 2005

    Keywords

    • Apheresis
    • BMT
    • Current Procedural Terminology
    • Payment

    ASJC Scopus subject areas

    • Hematology
    • Transplantation

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  • Cite this

    Gajewski, J. L., Simmons, A., Weinstein, R., Snyder, E., McMannis, J., Patashnik, B., Hassenbusch, S., LeMaistre, C. F., Woods, T., Denman, C., & Silver, S. (2005). The new apheresis and blood and marrow transplantation-related current procedural terminology codes for payment of apheresis and blood and marrow transplantation services. Biology of Blood and Marrow Transplantation, 11(11), 871-880. https://doi.org/10.1016/j.bbmt.2005.07.014