CPT 36460: Intrauterine Fetal Transfusion via Umbilical Vein
CPT code 36460 represents an intrauterine fetal transfusion performed by delivering blood through the fetal umbilical vein while the fetus remains in utero. This highly specialized, invasive procedure addresses fetal anemia and related perinatal hematologic emergencies and has implications for maternal-fetal medicine bundles, neonatal outcomes, and acute-care resource utilization across tertiary hospitals nationally. It is clinically significant due to its role in preventing fetal hydrops, stillbirth, and severe neonatal morbidity when timely performed.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of care, and the service type. The publication also outlines common billing and coding considerations, typical modifiers observed in practice (input provided), and national-level benchmark concepts where available. Where input data is incomplete, the text notes that specific items are not available.
This summary equips healthcare administrators, maternal-fetal medicine clinicians, and coding professionals with clear context for CPT code 36460, informing claims filing, payer discussions, and care pathway documentation without offering clinical recommendations.
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Billing Code Overview
CPT code 36460 describes a procedure in which a provider performs a fetal transfusion via the umbilical vein while the fetus remains in utero. This service is an intrauterine fetal transfusion, typically performed to treat fetal anemia or alloimmunization-related conditions.
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Service type: Invasive fetal therapeutic transfusion
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Typical site of service: Hospital operating room or labor and delivery suite with maternal-fetal medicine and neonatal support
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