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Phlebotomy bundled with draw fee

AZ_coder

AZ_coder

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28
Location
Kingman, AZ
When a patient has labs drawn, we bill 36415 and lab test (like, CBC). Sometimes the patient will need a phlebotomy the same day. Is the draw fee still payable, once a phlebotomy is billed? (Many insurance plans have bundled these together.) If it is payable, should I add a 59 modifier to the draw fee?

Thanks!
 
It really depends on the payer. We go ahead and bill both, there is no conflict between the two. It is not necessary to add -59, if anything a -51 could be added for some payers.
 
How do you handle an E/M and phlebotomy on the same day. Can you bill with no modifier or bill with Mod-57?
 
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