Wiki Phlebotomy billing

[ecaissie]

Hello! I own a billing service, and a woman just contacted me for help in starting a phlebotomy service that will collect specimens from homebound patients. When I checked Medicare's website, I found the CPT Code 36415 and HCPCS codes P9612, but I don't find 36415 in their fee schedule (although it's in the AAPC CPT manual). Code 36410, however, seems to be the same code, just a different number. Can someone clear this up for me? Is 36415 been changed to 36401? Or is something else going on? Thanks!

 

[cheermom68]

36415 is the correct code and it should be on the Lab fee schedule. I think they pay $3.00.
36410 has to be done by a physician because of circumstances that it takes special skill, not for routine venipuncture.

 

[ecaissie]

Thanks! I was confused when one place was telling me 36415 and the fee schedule only had 36410.