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Thread: Blood Draw

  1. #1

    Default Blood Draw

    AAPC: CPC Promo
    Does anyone have any suggestions on how to get paid for an MA drawing blood? We send off the sample, but she draws and prepares it.
    Thank you.
    Robin

  2. #2

    Default

    Thw code 36415 does not state Physician's skill. Have you tried that code for payment?

  3. #3
    Join Date
    Apr 2007
    Location
    Richmond, VA
    Posts
    76

    Default

    In follow up to this - what is recommened for the documentation of the MA blood draw? We've had some deny and the payer is requesting documentation. Our MA wasn't documenting anything, so those have been written off. But in the future I'd like to have them start documenting these blood draws, but what are others doing for documentation?
    Annemarie Lincoln, CPC
    Richmond, VA

  4. #4
    Join Date
    Apr 2007
    Location
    Tacoma, WA
    Posts
    1,085

    Default

    Quote Originally Posted by alincoln View Post
    In follow up to this - what is recommened for the documentation of the MA blood draw? We've had some deny and the payer is requesting documentation. Our MA wasn't documenting anything, so those have been written off. But in the future I'd like to have them start documenting these blood draws, but what are others doing for documentation?
    Same as an injection...and every service provided should always be documented. What if the patient had a cellulitis develop after the blood draw? You need to have documentation of what was done and who did it.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

  5. #5
    Join Date
    Apr 2007
    Location
    Malone
    Posts
    359

    Default Blood Draws

    Patient should be placed on the schedule and a progress note in the EMR should be documented by the medical staff that drew the blood. Minimum documentation should include a reference to the original order, the site of the blood draw and how the patient tolerated the procedure. ICD-9 code is based on the diagnoses used by the clinician on the original order and the procedure code is going to be based on the type of collection but for a routine venipuncture you are looking at probably 36415. Some insurances will also let you charge a 99000 for the handling and transfer of the specimen.
    Heather Winters, CPC, CFPC

  6. #6

    Default

    I agree it is 36415 and the MA should document Date, time, anatomical site, what the draw was for (which labs) and signature.

    Ex
    4/6/12 VP L arm for cbc, cmp, tsh____________S. Smith, RMA
    Debbie Flieger CPC, CPPM, CPC-H, CPMA
    ICD 10 CM/CT
    2012 St. Louis West Chapter President
    email: kdkbrebel@charter.net

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