Wiki Venipuncture

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Location
Sioux Falls
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The lab manager at our facility has decided that the venipunctures don't need to be ordered, it will be assumed that in order to get the blood draw this has to be done so now the coders have to put the code, 36415 on the claims. I have tried to tell them that it needs to be documented that it was done. Previously it was always listed under the labs, now it isn't. Is there any documentation out there that states this. Or what are thoughts about this from others.
 
we order ours as this creates the charge electronically. It would depend on your EMR as to the best practice. Also, considering that your Coders are always going to remember to add it.
 
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