CPT 86945

Can we report 86945 when the patient requires irradiated platelets per the attending physician order (even though the product was not actually irradiated for that specific patient)? Can we report 86945 when the clinical record indicates the patient does not require irradiated platelets (ie, the attending physician does not order irradiation)?

Answer: 
Yes, you may report code 86945, Irradiation of blood product, each unit, when the patient requires
irradiated platelets per the attending physician order even though the product was not actually irradiated for
that specific patient. It would not be appropriate to report code 86945 in the event the blood bank-transfusion service has chosen to irradiate all platelets when (a) it might not be indicated and/or (b) a physician order for that irradiated product (the only product stored, having irradiated them all) is lacking.

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