No office rate
Use 36440 for a blood push transfusion in a patient age 2 years or younger; 36430 is for routine transfusion administration.
On this page
CMS RVU26D · Effective 2026-10-01
36430 Blood transfusion Medicare reimbursement rates in Kansas
Administration of blood or blood components during a transfusion encounter, rather than an age-specific push transfusion or an exchange procedure. Compare 36430 office and facility rates across CMS payment localities in Kansas.
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.
What does Medicare pay for 36430 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$42.48
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Transfusion medicine
About 36430: Blood or blood component transfusion
Administration of blood or blood components during a transfusion encounter, rather than an age-specific push transfusion or an exchange procedure.
36430 represents administration of donated blood or a blood component, most often by intravenous infusion for anemia, bleeding, surgery-related blood loss, or a hematologic disorder. Outpatient infusion clinics, physician offices, and hospital teams may use it to report transfusion of red blood cells, platelets, plasma, or another component. The code describes the transfusion service, not the blood product itself.
Use 36430 for routine transfusion administration; select a specialized code for a push transfusion or an exchange transfusion. Report the service once for the transfusion encounter rather than once for each unit. Documentation should identify the clinical reason, component and units administered, and the administration and monitoring performed. CMS assigns no physician-work RVU to this service and identifies it as incident-to: it may be billed only when performed under physician supervision.
CMS billing rules for 36430
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU1.39 · 98%
- Malpractice RVU0.03 · 2%
4.8K
Medicare services in 2024 · #1896 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.
36430 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
36450 reports exchange transfusion in a newborn, rather than routine transfusion administration.
No office rate
36455 reports exchange transfusion in a patient other than a newborn; 36430 describes routine transfusion administration.
Compare 36430 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
$42.48
Facility
Unavailable
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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 36430 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
4,475
- Code
- 36430
- Physician work
- 0.00
- Practice expense
- 1.39
- Malpractice
- 0.03
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.39 | × 0.904 | 1.2566 |
| Malpractice | 0.03 | × 0.504 | 0.0151 |
| Total RVUs | 1.2717 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$42.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.39 | 0.904 |
| Malpractice | 0.03 | 0.504 |
(0 × 1 + 1.39 × 0.904 + 0.03 × 0.504) × $33.4009 = $42.48
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.
36430 billing questions
How is 36430 different from 36440?
36430 describes routine transfusion administration. 36440 is for a blood push transfusion in a patient age 2 years or younger.
Does 36430 include the blood product?
No. The code reports the administration service; report the blood product separately using the applicable product code.
Is 36430 reported for each unit transfused?
No. Report it once for the transfusion encounter, not once per unit. Record the units administered in the clinical documentation.
What documentation supports 36430?
Document the indication, the blood component and units administered, and the administration and monitoring performed.
What supervision is required for billing?
CMS identifies 36430 as an incident-to service. It may be billed only when performed under physician supervision.
Should a modifier identify the component or number of units?
Do not use a modifier to represent the component or unit count. Identify the component and units in the record and report the applicable product code separately.
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.
4,47236416,,Collj capillary blood spec,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47336420,,Venipuncture cutdown < 1 yr,A,,0.98,0.16,NA,0.16,,0.24,1.38,1.38,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47436425,,Venipuncture cutdown 1 yr/>,A,,0.74,0.16,NA,0.16,,0.09,0.99,0.99,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47536430,,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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958