$48.07
36440 is for a push transfusion in a child younger than two. 36430 describes a transfusion service not performed by push.
On this page
CMS RVU26D · Effective 2026-10-01
36440 Blood transfusion Medicare reimbursement rates in Minnesota
Reports a blood or blood-component transfusion delivered by push to a child younger than two years, rather than by a standard transfusion method. Compare 36440 office and facility rates across CMS payment localities in Minnesota.
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 36440 in Minnesota?
Minnesota 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
$40.87
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Transfusion services
About 36440: Infant blood transfusion by push
Reports a blood or blood-component transfusion delivered by push to a child younger than two years, rather than by a standard transfusion method.
CPT 36440 represents a blood or blood-component transfusion delivered by push to a child younger than two years. In neonatal and pediatric care, this may involve giving a measured amount manually through vascular access rather than administering the product by a standard transfusion method. The code identifies both the patient’s age and the delivery method; it is not an exchange transfusion.
Select the code when the patient is under two and the transfusion is performed by push. Documentation should support the child’s age, the blood product and amount administered, and the push method, distinguishing it from a standard transfusion service such as 36430. When this service and other procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50% under the standard multiple procedure rule.
CMS billing rules for 36440
- 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 RVU1.00 · 79%
- Practice expense (office) RVU0.20 · 16%
- Malpractice RVU0.06 · 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.
36440 compared with similar codes
Office rates for Minnesota, from the same CMS release.
Compare 36440 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$40.87
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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 36440 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
4,476
- Code
- 36440
- Physician work
- 1.00
- Practice expense
- 0.20
- Malpractice
- 0.06
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.000 | 1.0000 |
| Practice expense | 0.20 | × 1.029 | 0.2058 |
| Malpractice | 0.06 | × 0.296 | 0.0178 |
| Total RVUs | 1.2236 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$40.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1 |
| Practice expense | 0.2 | 1.029 |
| Malpractice | 0.06 | 0.296 |
(1 × 1 + 0.2 × 1.029 + 0.06 × 0.296) × $33.4009 = $40.87
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.
36440 billing questions
When should 36440 be chosen instead of 36430?
Use 36440 for a blood or blood-component transfusion delivered by push to a child younger than two. Use 36430 when the transfusion is not performed by push.
Does the patient's age affect code selection?
Yes. The patient must be younger than two years for 36440.
What documentation supports 36440?
Document the patient’s age, the blood product and amount administered, and that it was delivered by push.
Is an exchange transfusion reported with 36440?
No. Exchange transfusions are distinct services; select the exchange-transfusion code that matches the patient and procedure.
How does the multiple procedure rule affect payment?
For multiple procedures performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 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.
4,47336420,,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
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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002