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Venipunctures and send out labs

  1. #1
    Barren River Area
    Default Venipunctures and send out labs
    Medical Coding Books
    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

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

  3. #3
    Kansas City, MO
    Agree, 90 is not needed/correct.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

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