• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Can Medicaid be billed anything for a blood draw visit?

B

barbsalim

Guest
Messages
7
I know Medicare will only allow you to charge for the venipuncture during a straight lab visit, or immunizations & administration if any. Florida Medicaid does not reimburse for venipuncture (36415). So what may I bill for? Nothing except the $2.00 copay?
We used to bill Medicare 99211/36415 but I have learned this is not right, if all they are there for is the blood draw. Thanks!
 
you can only bill for the procedure code that is available for the blood draw you get the 36415, if it is not covered then perhaps MCaid is wanting the patient to go to the lab for the collection, as far as immunizations and other injection you use the appropriate injection admin fee, if the immunization is not covered then it is a coverage issue not a coding issue.
 
I work for a huge hospital in Florida, and I have been there for over 20 years. In my 20 years of billing Medicaid claims, we have never received payment for blood draw, hcpc 36415. We always have to eat that lab charge. Hope this helps.
 
You must log in or register to reply here.
Top