No office rate
Use 36450 for exchange transfusion in a newborn; 36455 is the exchange transfusion code for patients other than newborns.
On this page
CMS RVU26D · Effective 2026-10-01
36455 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$107.91
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Transfusion medicine
About 36455: Non-newborn exchange transfusion
Reports an exchange transfusion for a patient who is not a newborn, in which the patient’s blood is removed and replaced with donor blood.
This service involves removing a patient’s blood while replacing it with donor blood as part of an exchange transfusion. It is distinct from a routine transfusion, which administers blood or blood components without exchanging the patient’s blood. Hematology, critical care, or other clinicians may perform the procedure in a hospital or another setting equipped to manage transfusion procedures. A common clinical context is exchange transfusion for a patient with sickle cell disease.
Report 36455 for an exchange transfusion in a patient who is not a newborn; use the newborn-specific codes when the patient and procedure meet those code descriptions. Documentation should identify the indication, the exchange performed, and the patient’s status as non-newborn. The code represents the exchange service, not a separate service for each portion of blood removed or infused. When other procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the other procedures to 50% under the standard multiple procedure rule.
CMS billing rules for 36455
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU2.37 · 69%
- Practice expense (office) RVU0.46 · 13%
- Malpractice RVU0.59 · 17%
15
Medicare services in 2024 · #6070 by national volume
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.
36455 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
36456 describes partial exchange transfusion for a newborn. 36455 is for an exchange transfusion in a non-newborn patient.
$51.42
36430 is for a transfusion of blood or blood components, not an exchange of the patient’s blood.
No office rate
36512 describes therapeutic apheresis involving cell exchange. Select the code that matches the service and method performed, rather than using 36455 solely because blood is exchanged.
The same code, a different location
How does Chico compare?
36455 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 36455
Office
Unavailable
Facility
$107.91
No comparable office rate is available.
Modesto
California · 36455
Office
Unavailable
Facility
$107.91
No comparable office rate is available.
Napa
California · 36455
Office
Unavailable
Facility
$114.41
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 36455
Office
Unavailable
Facility
$111.81
No comparable office rate is available.
Redding
California · 36455
Office
Unavailable
Facility
$107.91
No comparable office rate is available.
Rest Of California
California · 36455
Office
Unavailable
Facility
$107.91
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 36455
Office
Unavailable
Facility
$114.23
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 36455
Office
Unavailable
Facility
$110.44
No comparable office rate is available.
Salinas
California · 36455
Office
Unavailable
Facility
$109.98
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 36455
Office
Unavailable
Facility
$110.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 36455
Office
Unavailable
Facility
$117.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 36455
Office
Unavailable
Facility
$116.72
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 36455
Office
Unavailable
Facility
$120.59
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 36455
Office
Unavailable
Facility
$117.85
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 36455
Office
Unavailable
Facility
$108.57
No comparable office rate is available.
Santa Cruz-Watsonville
California · 36455
Office
Unavailable
Facility
$110.05
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 36455
Office
Unavailable
Facility
$109.85
No comparable office rate is available.
Santa Rosa-Petaluma
California · 36455
Office
Unavailable
Facility
$110.97
No comparable office rate is available.
Stockton
California · 36455
Office
Unavailable
Facility
$107.91
No comparable office rate is available.
Vallejo
California · 36455
Office
Unavailable
Facility
$113.44
No comparable office rate is available.
Visalia
California · 36455
Office
Unavailable
Facility
$107.91
No comparable office rate is available.
Yuba City
California · 36455
Office
Unavailable
Facility
$107.91
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 36455
Office
Unavailable
Facility
$123.47
No comparable office rate is available.
Miami
Florida · 36455
Office
Unavailable
Facility
$144.99
No comparable office rate is available.
Chicago
Illinois · 36455
Office
Unavailable
Facility
$140.38
No comparable office rate is available.
Manhattan
New York · 36455
Office
Unavailable
Facility
$133.33
No comparable office rate is available.
Alaska*
Alaska · 36455
Office
Unavailable
Facility
$145.96
No comparable office rate is available.
Alabama
Alabama · 36455
Office
Unavailable
Facility
$103.76
No comparable office rate is available.
Arkansas
Arkansas · 36455
Office
Unavailable
Facility
$102.51
No comparable office rate is available.
Arizona
Arizona · 36455
Office
Unavailable
Facility
$110.92
No comparable office rate is available.
Colorado
Colorado · 36455
Office
Unavailable
Facility
$111.85
No comparable office rate is available.
Connecticut
Connecticut · 36455
Office
Unavailable
Facility
$121.14
No comparable office rate is available.
Delaware
Delaware · 36455
Office
Unavailable
Facility
$112.45
No comparable office rate is available.
Fort Lauderdale
Florida · 36455
Office
Unavailable
Facility
$130.35
No comparable office rate is available.
Rest Of Florida
Florida · 36455
Office
Unavailable
Facility
$123.47
No comparable office rate is available.
Atlanta
Georgia · 36455
Office
Unavailable
Facility
$118.68
No comparable office rate is available.
Rest Of Georgia
Georgia · 36455
Office
Unavailable
Facility
$116.36
No comparable office rate is available.
Hawaii, Guam
Hawaii · 36455
Office
Unavailable
Facility
$108.04
No comparable office rate is available.
Iowa
Iowa · 36455
Office
Unavailable
Facility
$101.04
No comparable office rate is available.
Idaho
Idaho · 36455
Office
Unavailable
Facility
$102.62
No comparable office rate is available.
East St. Louis
Illinois · 36455
Office
Unavailable
Facility
$132.98
No comparable office rate is available.
Rest Of Illinois
Illinois · 36455
Office
Unavailable
Facility
$123.99
No comparable office rate is available.
Suburban Chicago
Illinois · 36455
Office
Unavailable
Facility
$130.41
No comparable office rate is available.
Indiana
Indiana · 36455
Office
Unavailable
Facility
$102.98
No comparable office rate is available.
Kansas
Kansas · 36455
Office
Unavailable
Facility
$102.98
No comparable office rate is available.
Kentucky
Kentucky · 36455
Office
Unavailable
Facility
$110.85
No comparable office rate is available.
New Orleans
Louisiana · 36455
Office
Unavailable
Facility
$116.00
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 36455
Office
Unavailable
Facility
$111.64
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 36455
Office
Unavailable
Facility
$118.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 36455
Office
Unavailable
Facility
$112.31
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 36455
Office
Unavailable
Facility
$121.29
No comparable office rate is available.
Rest Of Maryland
Maryland · 36455
Office
Unavailable
Facility
$113.59
No comparable office rate is available.
Rest Of Maine
Maine · 36455
Office
Unavailable
Facility
$105.55
No comparable office rate is available.
Southern Maine
Maine · 36455
Office
Unavailable
Facility
$106.82
No comparable office rate is available.
Detroit
Michigan · 36455
Office
Unavailable
Facility
$127.21
No comparable office rate is available.
Rest Of Michigan
Michigan · 36455
Office
Unavailable
Facility
$115.44
No comparable office rate is available.
Minnesota
Minnesota · 36455
Office
Unavailable
Facility
$100.80
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 36455
Office
Unavailable
Facility
$112.84
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 36455
Office
Unavailable
Facility
$113.53
No comparable office rate is available.
Rest Of Missouri
Missouri · 36455
Office
Unavailable
Facility
$111.60
No comparable office rate is available.
Mississippi
Mississippi · 36455
Office
Unavailable
Facility
$106.95
No comparable office rate is available.
Montana**
Montana · 36455
Office
Unavailable
Facility
$114.19
No comparable office rate is available.
North Carolina
North Carolina · 36455
Office
Unavailable
Facility
$106.09
No comparable office rate is available.
North Dakota**
North Dakota · 36455
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Nebraska
Nebraska · 36455
Office
Unavailable
Facility
$100.79
No comparable office rate is available.
New Hampshire
New Hampshire · 36455
Office
Unavailable
Facility
$112.40
No comparable office rate is available.
Northern Nj
New Jersey · 36455
Office
Unavailable
Facility
$123.02
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 36455
Office
Unavailable
Facility
$120.72
No comparable office rate is available.
New Mexico
New Mexico · 36455
Office
Unavailable
Facility
$116.92
No comparable office rate is available.
Nevada**
Nevada · 36455
Office
Unavailable
Facility
$110.96
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 36455
Office
Unavailable
Facility
$139.09
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 36455
Office
Unavailable
Facility
$123.39
No comparable office rate is available.
Queens
New York · 36455
Office
Unavailable
Facility
$130.80
No comparable office rate is available.
Rest Of New York
New York · 36455
Office
Unavailable
Facility
$107.61
No comparable office rate is available.
Ohio
Ohio · 36455
Office
Unavailable
Facility
$113.05
No comparable office rate is available.
Oklahoma
Oklahoma · 36455
Office
Unavailable
Facility
$108.19
No comparable office rate is available.
Portland
Oregon · 36455
Office
Unavailable
Facility
$112.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 36455
Office
Unavailable
Facility
$108.32
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 36455
Office
Unavailable
Facility
$120.09
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 36455
Office
Unavailable
Facility
$111.89
No comparable office rate is available.
Puerto Rico
Puerto Rico · 36455
Office
Unavailable
Facility
$114.10
No comparable office rate is available.
Rhode Island
Rhode Island · 36455
Office
Unavailable
Facility
$114.11
No comparable office rate is available.
South Carolina
South Carolina · 36455
Office
Unavailable
Facility
$110.11
No comparable office rate is available.
South Dakota**
South Dakota · 36455
Office
Unavailable
Facility
$101.15
No comparable office rate is available.
Tennessee
Tennessee · 36455
Office
Unavailable
Facility
$103.71
No comparable office rate is available.
Austin
Texas · 36455
Office
Unavailable
Facility
$113.03
No comparable office rate is available.
Beaumont
Texas · 36455
Office
Unavailable
Facility
$111.45
No comparable office rate is available.
Brazoria
Texas · 36455
Office
Unavailable
Facility
$110.39
No comparable office rate is available.
Dallas
Texas · 36455
Office
Unavailable
Facility
$112.08
No comparable office rate is available.
Fort Worth
Texas · 36455
Office
Unavailable
Facility
$112.19
No comparable office rate is available.
Galveston
Texas · 36455
Office
Unavailable
Facility
$111.37
No comparable office rate is available.
Houston
Texas · 36455
Office
Unavailable
Facility
$122.17
No comparable office rate is available.
Rest Of Texas
Texas · 36455
Office
Unavailable
Facility
$111.54
No comparable office rate is available.
Utah
Utah · 36455
Office
Unavailable
Facility
$111.30
No comparable office rate is available.
Virginia
Virginia · 36455
Office
Unavailable
Facility
$108.18
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 36455
Office
Unavailable
Facility
$114.10
No comparable office rate is available.
Vermont
Vermont · 36455
Office
Unavailable
Facility
$104.34
No comparable office rate is available.
Rest Of Washington
Washington · 36455
Office
Unavailable
Facility
$111.36
No comparable office rate is available.
Seattle (King Cnty)
Washington · 36455
Office
Unavailable
Facility
$118.07
No comparable office rate is available.
Wisconsin
Wisconsin · 36455
Office
Unavailable
Facility
$99.95
No comparable office rate is available.
West Virginia
West Virginia · 36455
Office
Unavailable
Facility
$120.71
No comparable office rate is available.
Wyoming**
Wyoming · 36455
Office
Unavailable
Facility
$109.11
No comparable office rate is available.
See how rates vary across the country
36455 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 36455 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$118.70
$107.91 × 110% = $118.70
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36455 in Chico.
PPRRVU2026_Oct_nonQPP.csv
4,478
- Code
- 36455
- Physician work
- 2.37
- Practice expense
- 0.46
- Malpractice
- 0.59
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.37 | × 1.017 | 2.4103 |
| Practice expense | 0.46 | × 1.096 | 0.5042 |
| Malpractice | 0.59 | × 0.536 | 0.3162 |
| Total RVUs | 3.2307 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$107.91
Open 36455 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1.017 |
| Practice expense | 0.46 | 1.096 |
| Malpractice | 0.59 | 0.536 |
(2.37 × 1.017 + 0.46 × 1.096 + 0.59 × 0.536) × $33.4009 = $107.91
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
36455 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $107.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $107.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $107.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $107.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $114.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $114.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $114.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $114.61 | RVU25A |
36455 billing questions
How is 36455 distinguished from 36450?
36455 is for exchange transfusion in a patient other than a newborn. Code 36450 is the newborn exchange transfusion code.
When is 36456 used instead?
36456 describes partial exchange transfusion for a newborn. It is not the code for a non-newborn exchange transfusion.
Is a routine blood transfusion reported with 36455?
A routine transfusion administers blood or components without exchanging the patient’s blood and is described by a different service. Report the procedure actually performed rather than treating an exchange as a routine transfusion.
How does CMS handle other procedures performed in the same session?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and reduces the other procedures to 50%.
What documentation supports reporting 36455?
Document the clinical indication, that an exchange transfusion was performed, and that the patient was not a newborn. The record should distinguish the exchange from a routine transfusion.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,47536430,,Transfusion bld/bld compnt,A,,0.00,1.39,,1.39,NA,0.03,1.42,1.42,5,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47636440,,Bld push tfuj 2 yr/<,A,,1.00,0.20,NA,0.20,,0.06,1.26,1.26,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47736450,,Bld exchange truj newborn,A,,3.41,0.69,NA,0.69,,0.21,4.31,4.31,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47836455,,Bld exchange truj oth thn nb,A,,2.37,0.46,NA,0.46,,0.59,3.42,3.42,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47936456,,Prtl exchange transfuse nb,A,,1.95,0.39,NA,0.39,,0.12,2.46,2.46,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48036460,,Intrauterine transfusion ftl,A,,6.42,1.36,NA,1.36,,1.13,8.91,8.91,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48136465,,Njx noncmpnd sclrsnt 1 vein,A,,2.29,35.75,,0.39,,0.48,38.52,3.16,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536