Pathology/Lab Coding Alert

You Be the Coder:

Limit Venipuncture Units

Question: If we have a chart for a hospital outpatient that shows multiple blood draws for different lab tests, can we bill multiple units of 36415? Is the answer different for hospital inpatients?
Kentucky Subscriber Answer: You shouldn’t separately bill venipuncture for hospital inpatients — the service is included in the DRG rate structure.

You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.