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IV start and collection of venous blood

  1. #11
    Columbia, MO
    Medical Coding Books
    It is correct that if you insert the catherter for the IV and prior to placing th IV you sraw blood for the labs that you may bill only the IV infusion. When you do a venipuncuture for multiple labs, and you leave the needle in place and fill multiple tubes then you bill for only one venipuncture because that was what you did. In theoriginal question it appears that a venipuncture for blood collection was performed then the vein was accessed again and a catherter inserted for the purpose of and infusion, in this instance, you may bill for both, will a modifier be needed, depends on the payer but a 59 would show that these were two independent sticks.

  2. #12
    Greeley, Colorado
    Actually the vein is accessed once using supplies to start the IV but they draw blood before starting the infusion. You are right, depends on the carrier for modifier use.
    Lisa Bledsoe, CPC, CPMA

  3. #13
    Columbia, MO
    Ah then I misunderstood the original question, if the vein is accesed only once then you may bill for only one access so bill the infusion.

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