Billing code 36460: Fetal transfusionMedicare rate & RVUs in Nevada
Reports transfusion of blood to a fetus, typically to treat fetal anemia identified before birth and performed under ultrasound guidance.
CMS doesn’t publish an office rate for 36460 in Nevada.
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 9 sections
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.
36460 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $291.34 |
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
Work6.42
6.42 RVUs× 1.000 GPCI
Practice expense1.36
1.36 RVUs× 1.000 GPCI
Malpractice1.13
1.13 RVUs× 1.000 GPCI
Adjusted RVUs
8.9100
Conversion factor
$33.4009
Medicare rate
$297.60
Every GPCI starts 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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
36460 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
Fee sheets
Put 36460 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →