$48.85
36460 is for transfusion to a fetus before delivery. Use 36430 for transfusion to a patient after birth.
On this page
CMS RVU26D · Effective 2026-10-01
36460 Fetal transfusion Medicare reimbursement rates in Rhode Island
Reports transfusion of blood to a fetus, typically to treat fetal anemia identified before birth and performed under ultrasound guidance. Compare 36460 office and facility rates across CMS payment localities in Rhode Island.
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 36460 in Rhode Island?
Rhode Island 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
$299.10
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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
About 36460: Intrauterine fetal transfusion
Reports transfusion of blood to a fetus, typically to treat fetal anemia identified before birth and performed under ultrasound guidance.
CPT 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%.
CMS billing rules for 36460
- 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 RVU6.42 · 72%
- Practice expense (office) RVU1.36 · 15%
- Malpractice RVU1.13 · 13%
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 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
36450 is an exchange transfusion for a newborn after delivery; 36460 is transfusion to a fetus still in utero.
No office rate
36455 describes exchange transfusion for a patient other than a newborn, not transfusion to a fetus.
No office rate
36456 is a partial exchange transfusion for a newborn. It does not describe an intrauterine fetal transfusion.
Compare 36460 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$299.10
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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 36460 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,480
- Code
- 36460
- Physician work
- 6.42
- Practice expense
- 1.36
- Malpractice
- 1.13
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.42 | × 1.019 | 6.5420 |
| Practice expense | 1.36 | × 1.033 | 1.4049 |
| Malpractice | 1.13 | × 0.892 | 1.0080 |
| Total RVUs | 8.9548 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$299.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.42 | 1.019 |
| Practice expense | 1.36 | 1.033 |
| Malpractice | 1.13 | 0.892 |
(6.42 × 1.019 + 1.36 × 1.033 + 1.13 × 0.892) × $33.4009 = $299.10
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.
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 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.
4,47736450,,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
4,48236466,,Njx noncmpnd sclrsnt mlt vn,A,,2.93,36.57,,0.47,,0.59,40.09,3.99,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,48336468,,Njx sclrsnt spider veins,R,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537