No office rate
Both describe exchange transfusion, but 36455 is for patients other than newborns; 36450 is the newborn code.
On this page
CMS RVU26D · Effective 2026-10-01
36450 Exchange transfusion Medicare reimbursement rates in Kansas
Reports a newborn blood exchange that progressively removes circulating blood and replaces it with donor blood, commonly for severe neonatal hyperbilirubinemia. Compare 36450 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 36450 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
No supported rate
Facility setting
$138.27
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
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.
Neonatal transfusion
About 36450: Newborn exchange transfusion
Reports a newborn blood exchange that progressively removes circulating blood and replaces it with donor blood, commonly for severe neonatal hyperbilirubinemia.
This service replaces a newborn’s circulating blood through a controlled process of withdrawing blood and infusing compatible donor blood. It is typically performed by a neonatologist or pediatrician in a hospital nursery or NICU. A common clinical situation is severe hyperbilirubinemia associated with hemolytic disease of the newborn. Vascular access may use an umbilical catheter, and the exchange is carried out in measured portions rather than as a routine transfusion.
Report 36450 for a newborn exchange, not for a simple transfusion or a partial exchange. Documentation should establish the newborn’s status, the clinical reason for the exchange, and that blood was removed and replaced as an exchange procedure. When multiple 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 are paid at 50%.
CMS billing rules for 36450
- 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 RVU3.41 · 79%
- Practice expense (office) RVU0.69 · 16%
- Malpractice RVU0.21 · 5%
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.
36450 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Use 36456 for a partial exchange in a newborn. Use 36450 when the documented service is a newborn exchange transfusion.
$42.48
36430 describes transfusion of blood or blood components. It does not describe the removal-and-replacement process of an exchange.
No office rate
36440 describes a push transfusion for a young child, not a newborn blood exchange.
Compare 36450 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
Unavailable
Facility
$138.27
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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 36450 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
4,477
- Code
- 36450
- Physician work
- 3.41
- Practice expense
- 0.69
- Malpractice
- 0.21
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 0.69 | × 0.904 | 0.6238 |
| Malpractice | 0.21 | × 0.504 | 0.1058 |
| Total RVUs | 4.1396 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$138.27
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1 |
| Practice expense | 0.69 | 0.904 |
| Malpractice | 0.21 | 0.504 |
(3.41 × 1 + 0.69 × 0.904 + 0.21 × 0.504) × $33.4009 = $138.27
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.
36450 billing questions
How does 36450 differ from 36456?
36450 represents a newborn exchange transfusion; 36456 is for a partial exchange in a newborn. The record should support which type of exchange was performed.
Can 36450 be used for a routine newborn transfusion?
No. Use 36450 when blood is withdrawn and replaced as an exchange; a transfusion that simply administers blood is a different service.
Should 36430 also be reported for the donor blood used in the exchange?
Do not separately report 36430 for blood administration that is part of the same exchange service. Consider it only for a distinct transfusion service supported by the record.
What documentation supports reporting 36450?
Document the newborn’s clinical indication and the exchange procedure, including that blood was removed and replaced. A routine transfusion record alone does not establish an exchange.
How does the multiple procedure reduction affect payment?
When multiple procedures subject to the standard reduction are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
4,47436425,,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
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
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