Coding, Classification & Reimbursement

1.  Need help for PCS code for Donor-fresh frozen plasma (FFP) transfusion through a central venous line

Posted 13 days ago
Hello, does anybody know what to code for this exact statement: Donor-fresh frozen plasma (FFP) transfusion through a central venous line. I checked the options but there is none for fresh frozen plasma. It is separate like one for fresh and one for frozen. Does that mean that are two substances transfused to the patient?

Thank you

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Elsie Snyder
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2.  RE: Need help for PCS code for Donor-fresh frozen plasma (FFP) transfusion through a central venous line

Posted 13 days ago

We don't code transfusions but my educated guess would be just code it to Frozen. 

See below that I found on Engage

 

Fresh Frozen Plasma (FFP) is plasma that is frozen within 6 hours of collection.  Many blood centers have stopped making this due to the time restraints.  Frozen plasma is plasma that is frozen usually within 24 hours of collection. We do not use fresh plasma that has not been frozen.

Our blood supplier does have that product and they are thinking that hospitals might like to stock a few for massive transfusions.  It takes about 30 minutes to thaw plasma and that is a long time when you have a patient bleeding out. Also, thawed plasma is only good for 5 days and the liquid plasma has a 26 day expiration. It is called " Liquid Plasma" not fresh plasma- that might be another coding issue or just semantics."

 






3.  RE: Need help for PCS code for Donor-fresh frozen plasma (FFP) transfusion through a central venous line

Posted 12 days ago
Dear Elsie,

I looked up the PCS code (table 302) and I found a 6th character for fresh plasma (L) and frozen plasma(K). Since they are separated I would guess that they have to be coded separately. The question is, would that support what is documented? I would double check that as well since you do not want to code what is not documented.

Good luck

Jodi Miller, RHIT, CCS

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Jodi Miller, RHIT, CCS
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4.  RE: Need help for PCS code for Donor-fresh frozen plasma (FFP) transfusion through a central venous line

Posted 12 days ago
Hello Jodi that is the exact statement in my homework. Yes there is an option for both but fresh frozen plasma or FFP is just a single product? Maybe it is just same as frozen plasma because if so, then I can just code it to frozen plasma.

Thank you,
Elsie

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Elsie Snyder
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5.  RE: Need help for PCS code for Donor-fresh frozen plasma (FFP) transfusion through a central venous line

Posted 11 days ago
Dear Elsie,

I never heard of fresh frozen plasma. Hopefully someone else in the group will respond.

Good Luck

Jodi Miller, RHIT, CCS

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Jodi Miller, RHIT, CCS
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6.  RE: Need help for PCS code for Donor-fresh frozen plasma (FFP) transfusion through a central venous line

Posted 12 days ago
Hi, Elsie:

I would take PCS to mean that "Frozen Plasma" is indeed "Fresh Frozen Plasma," which would code out to: 30243K1

Donor would be "non-autologous".

I was a Med Tech back in the day and did blood banking at a hospital. AABB.org is the organization that governs the standards. Here's a link to information about FFP on pg. 16 http://www.aabb.org/tm/coi/Documents/coi1113.pdf

Hope this helps!

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Thank you!
Cindy Kibbe
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7.  RE: Need help for PCS code for Donor-fresh frozen plasma (FFP) transfusion through a central venous line

Posted 12 days ago
Cynthia Kibbe is correct. Frozen plazma = Fresh Frozen Plazma.  Per the ncbi , "Thawed plasma contains all of the clotting factors that Fresh Frozen Plasma contains with the exception of lower levels of Factor V and Factor VIII. Thawed plasma still has significant levels of factors to enhance coagulation."

Thawed plasma an alternative to fresh frozen plasma. - PubMed - NCBI
Nih remove preview
Thawed plasma an alternative to fresh frozen plasma. - PubMed - NCBI
J Trauma Nurs. 2005 Apr-Jun;12(2):57-8. Comparative Study
View this on Nih >




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Lydia R. Roehl, CCS, CDIS
AHIMA Approved ICD 10 CM/PCS Trainer & Ambassador
Physician Advisor , Compliance Liaison
Clinical Documentation Education
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