Wiki Venipunctures and send out labs

[sec5188]

We've had an increasing amount of denials for code 36415 with a 90 modifier. We are billing this code when we draw blood to send to our reference lab. Is this incorrect? Is anyone else having this problem? Currently, the problem is exclusively with Aetna and Humana.

Thank you
Sondra

 

[tdml97@yahoo.com]

Take the modifier off - you can bill for the draw & the lab bills the rest

 

[LindaEV]

Agree, 90 is not needed/correct.