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Thread: Venipunctures and send out labs

  1. #1
    Join Date
    Apr 2007
    Barren River Area

    Default Venipunctures and send out labs

    AAPC: Back to School
    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. #2


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

  3. #3
    Join Date
    Apr 2007
    Kansas City, MO


    Agree, 90 is not needed/correct.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

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