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Venipunctures and send out labs

  1. #1
    Location
    Barren River Area
    Posts
    28
    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
    Sondra

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


  3. #3
    Location
    Kansas City, MO
    Posts
    431
    Default
    Agree, 90 is not needed/correct.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

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