In Coding
Jun 19th, 2018
Venipuncture coding is easy, but there are three rules to follow: 1. Select the right code. Venipuncture coding is described using CPT® 36415 Collection of venous blood by venipuncture. 2. Don’t append modifier 63. Modifier 63 describes a procedure performed on infant less than 4 kg. CPT® instructs us that that use of modifier 63 with 36415 ...
36415 is a laboratory service and should be billed as such. Physicians often provide routine venipuncture to patients when ordering a laboratory test to save the patient a trip to the laboratory. This service is reported with CPT® 36415 Collection of venous blood by venipuncture. Although reimbursement is only $3, the Centers for Medicare & ...
In Billing
Mar 19th, 2015
Report routine venipuncture with 36415 Collection of venous blood, by venipuncture. Per CPT® instruction, never append modifier 63 Procedure performed on infants less than 4kg to 36415, even for very young and small patients. The CMS 2015 National Physician Fee Schedule Relative Value File assigns 36415 an “X” status code, meaning that the service is ...
Have a Coding Quandary? Ask John Q: Can you explain the difference among venipuncture codes 36000 and 36400-36415? A: For routine collection of blood samples by venipuncture, use 36415 Collection of venous blood by venipuncture. Codes 36400-36410 differ from 36415 in that they describe venipuncture that requires a physician’s (or other qualified provider’s) skill to ...
Learn to correctly unbundle codes for proper payment of these services. By Erica T. Cousin, CPC, CPC-I National Correct Coding Initiative (NCCI) version 20.1 includes code pair 36415 Collection of venous blood by venipuncture and 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the ...