luckyblue404@aol.com
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We are new to billing labs in house and I am wondering if anyone has had any success billing the 36415 Venipuncture charge and getting paid for it from commercial payers?
Thanks in advance!
Thanks in advance!
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Wiki 36415 Venipuncture
- Thread starter luckyblue404@aol.com
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- 36415 venipuncture
Most carriers will not reimburse for the 36415 as they consider it inclusive.
Diagnosis Code
We are a large practice that offers phlebotomy services. We are begining to bill for these services and are debating what needs to be used for the diagnosis code. If the patient is coming in for a panel of tests, what diagnosis code should be used? I have found Z01.812 encounter for preprocedural lab examination which I feel would be appropriate for pre-op testing. I feel that Z00.00 or .01 is appropriate as we are only doing the draw and not the actual testing. Others feel that the underlying condition (if known) and reason for the venipuncture needs to be listed as dx.
Any additional help with material I can reference to make my case would be extremely helpful.
Andrea C.
We are a large practice that offers phlebotomy services. We are begining to bill for these services and are debating what needs to be used for the diagnosis code. If the patient is coming in for a panel of tests, what diagnosis code should be used? I have found Z01.812 encounter for preprocedural lab examination which I feel would be appropriate for pre-op testing. I feel that Z00.00 or .01 is appropriate as we are only doing the draw and not the actual testing. Others feel that the underlying condition (if known) and reason for the venipuncture needs to be listed as dx.
Any additional help with material I can reference to make my case would be extremely helpful.
Andrea C.