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Billing code 36460: Fetal transfusionMedicare rate & RVUs

Reports transfusion of blood to a fetus, typically to treat fetal anemia identified before birth and performed under ultrasound guidance.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $297.60 for 36460 nationally in a facility.

Medicare rate · 36460

Fetal transfusion

Swap in your local Medicare rate.

Work RVUs
6.42
Total RVUs
8.91
Global days
XXX

National rate · 2026

$297.60

Facility setting, before claim adjustments.

See every locality for 36460 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 36460 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 36460 covers

billing code 36460 represents transfusion of blood to a fetus before delivery, commonly to treat fetal anemia associated with maternal red-cell alloimmunization. A maternal-fetal medicine specialist typically performs the procedure in a hospital setting, using ultrasound to guide access to the fetus, often through the umbilical vein, and delivery of the transfused blood. This is a fetal procedure, not a transfusion administered to the pregnant patient or to a newborn after birth.

Report the service when blood is transfused to the fetus. Documentation should identify the fetal indication, the transfusion performed, the access route, and the blood product administered. Distinguish it from postnatal transfusion and exchange-transfusion services by documenting that the recipient was still in utero. When this service and other procedures subject to the standard multiple procedure reduction are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 36460 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

36460 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$275.54
Alaska*Unavailable$390.82
ArizonaUnavailable$290.76
ArkansasUnavailable$272.89
AtlantaUnavailable$306.56
AustinUnavailable$296.36
BakersfieldUnavailable$291.28
Baltimore/Surr. CntysUnavailable$313.29
BeaumontUnavailable$290.83
BrazoriaUnavailable$290.61

36460 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
36460 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 36460 rate is calculated

Each of 36460’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36460

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.42Practice expense 1.36Malpractice 1.13

8.9100 adjusted RVUs×$33.4009 conversion factor=$297.60

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 36460

The CMS indicators that decide how 36460 is paid alongside other services.

CMS payment indicators · 36460

Fetal transfusion

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36460 without 51 · national facility

$297.60

Fetal transfusion

36460-51 · Second procedure: 50%

$148.80

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

36460 compared with similar codes

Compare codes

36460 vs 36430 vs 36450 vs 36455 vs 36456: national Medicare rates

Swap in your local Medicare rate.

  • 36460
    Fetal transfusion · 6.42 wRVU
    —
  • 36430
    Blood transfusion · 0 wRVU
    $47.43
  • 36450
    Exchange transfusion · 3.41 wRVU
    —
  • 36455
    Exchange transfusion · 2.37 wRVU
    —
  • 36456
    Blood exchange · 1.95 wRVU
    —

How to choose

36430Blood transfusion
36460 is for transfusion to a fetus before delivery. Use 36430 for transfusion to a patient after birth.
36450Exchange transfusion
36450 is an exchange transfusion for a newborn after delivery; 36460 is transfusion to a fetus still in utero.
36455Exchange transfusion
36455 describes exchange transfusion for a patient other than a newborn, not transfusion to a fetus.
36456Blood exchange
36456 is a partial exchange transfusion for a newborn. It does not describe an intrauterine fetal transfusion.

Codes related to 36460

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36460
CodeHow it relatesNational office range
Same family
36430Blood transfusionTransfusion service for a recipient after birth rather than a fetus.$40.40–$67.49
36450Exchange transfusionExchange-transfusion service for a newborn.No office rate
36455Exchange transfusionExchange-transfusion service for a patient other than a newborn.No office rate
36456Blood exchangePartial exchange-transfusion service for a newborn.No office rate

36460 billing questions

When should 36460 be used instead of 36430?

Use 36460 for blood transfused to a fetus before birth. Code 36430 describes a transfusion to a patient after birth, including a newborn.

Does 36460 describe an exchange transfusion?

No. It describes transfusion to a fetus. For postnatal exchange transfusion, select the code that matches the recipient’s age and the type of exchange performed.

What documentation supports 36460?

Document the fetal indication, that the transfusion occurred before delivery, the access route, and the blood product administered.

How does the multiple procedure reduction affect 36460?

When it is performed in the same session with other procedures subject to the standard reduction, the highest-valued procedure is paid in full and the others at 50%.

Can 36460 be reported for a transfusion after delivery?

No. Once the patient is born, report the applicable postnatal transfusion or exchange-transfusion service instead.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36460PPRRVU2026_Oct_nonQPP.csv, line 4,480 (RVU26D)

Open CMS sourceHow we calculate rates

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