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Wiki Lab 82948 with Veni 36416

Lisa A

Networker
Messages
35
Location
Smith Station, AL
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Good Morning Everyone!

I have been asked to determine why insurance will not pay venipuncture 36416 with CPT 82948 Stick Assay of Blood Glucose in a CAH. Can anyone help me determine the reason(s) or where I might go to research.

I do not know anything about reimbursement in this setting. :confused:

Thank you in advance,
Lisa
 
36416 (Finger/heel stick) is an RBRVS status B code not reimbursable. Most payers will also bundle 36415 (true venipuncture) into lab procedures unless its the sole procedure performed. collection if the blood is an integral component of a blood test or a component of the E&M.
 
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