Blood Deductible
Part A Blood Deductible
The Part A blood deductible applies to whole blood and red blood cells.
Blood must be furnished on a day which counts as a day of inpatient hospital services to be covered as a Part A service and to count toward the blood deductible.
Blood is not covered under Part A and does not count toward the blood deductible when:
- Inpatient benefits exhausted, or
- Patient elected not to use lifetime reserve days
Part B Blood Deductible
The Part B blood deductible applies only if you purchase whole blood or packed red blood cells from a community blood bank or if you assess a charge that reflects more than blood processing and storage for whole blood or packed red cells collected by your blood bank.
If the beneficiary has not already fulfilled the annual blood deductible or replaced the blood, payment will be made for processing and storage costs only.
The beneficiary is liable for the blood portion used towards the blood deductible.
Note: To ensure correct application of the Medicare blood deductible, report charges for whole units of packed red cells with revenue code 0381, and whole units of whole blood with revenue code 0382.
References