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36415 and Medicare

  1. Default 36415 and Medicare
    Medical Coding Books
    Can anyone help me out in managing a denial

    36415 with 82728----Denied 36415

    Also advice whether we could bill 36415 with E&M
    Also advice whether we could bill 36415 with other lab codes

    What do our 2009 Edits say about this?

  2. #2
    Bentonville, Arkansas
    Default 36415
    I believe Medicare does allow for 36415 if there is no E/M, however, very few 3rd party payers will allow 36415 anymore and bundles them into the lab service. If something other than blood is being collected you may not use 36415. Medicaid does not allow the 36415 either

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