Q&A Session – 28 August 2025
Q: I claimed every unit of blood in a massive transfusion, but only two got paid — why?
- Scope: All transfusions in intensive care.
- Details:
- TN.1.7 – Item 13706 covers transfusion of blood, platelets, white blood cells, bone marrow, or intravenous gamma globulins.
- It does not cover other plasma products.
- The MBS definition does not formally limit the number of claims per day, but in practice the item is intended to cover a transfusion episode, which may include multiple units.
- While more than one transfusion episode in a single day is possible, Services Australia applies a practical limit of two claims per calendar day.
- ⚠️ Important: There is currently no MBS item for massive transfusion — billing multiple (more than 2) units individually will result in rejections.
Disclaimer
This blog is provided for educational and general informational purposes only and does not constitute legal, medical, or financial advice. While every effort has been made to ensure accuracy, billing requirements under the Medicare Benefits Schedule (MBS) are complex and subject to change. Clinicians should always consult the official MBS, relevant hospital policies, or seek independent professional advice before making billing decisions. While we use reasonable effort to ensure that our overview articles are accurate, current and complete, we do not represent, warrant, or guarantee (to the maximum extent permitted by law) their accuracy, currency, or completeness or imply that they are applicable to your individual situation. ClaimLogic accepts no liability arising from for actions taken based on the content of this article.
