AAPC - Back to school
Results 1 to 4 of 4

Thread: E/M and venipuncture

  1. #1

    Default E/M and venipuncture

    AAPC: Back to School
    Our billing company is telling us that we cannot ever bill for an office visit with a venipuncture. They say that the 36415 is an add-on code. They have been writing them all off. I know about the 99211 and a veinpuncture but we often bill for the following example:

    Patient presents with fatigue and the doctor wants to do blood work. We will charge a 99213 and a 36415.

    Does anyone have any documentation stating that it is acceptable to bill for both the office visit and the venipuncture on the same visit? I understand that some insurance companies will bundle them but I am having a hard time finding any documentation on Trailblazer or Medicare stating that the 36415 is not an add-on code. Please let me know if we are doing this wrong! Thanks for any help!

  2. #2
    Join Date
    Apr 2007
    Bradenton, FL


    I do not have any documentation to support this at hand, but we bill it all the time. It is absolutely acceptable.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    Add on codes are designated in the CPT with a + next to the number so 36415 is not an add on code.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4


    It is valid to code the 36415 in addition to the E&M. But some payers do consider it inclusive and deny separate payment. But we code and bill it.

Similar Threads

  1. Venipuncture - Can an MA perform
    By linwill3 in forum Internal Medicine
    Replies: 2
    Last Post: 10-30-2012, 08:07 AM
  2. help venipuncture
    By perkins05 in forum E/M
    Replies: 5
    Last Post: 12-20-2010, 07:36 AM
  3. Venipuncture - When would it be appropriate
    By alysonrs in forum Hematology/Oncology
    Replies: 1
    Last Post: 10-28-2010, 01:28 PM
  4. Venipuncture
    By Lisa Heikes in forum Outpatient Facilities
    Replies: 1
    Last Post: 02-09-2010, 05:54 AM
  5. venipuncture
    By samorn in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2009, 06:40 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.