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Billing for venipunctures

  1. Default Billing for venipunctures
    Medical Coding Books
    Hello...our group has never billed 3 separate venipunctures when doing a 3-hr glucose in the office but have recently been told we can and should bill for all 3. Is this correct? Will insurance pay for all 3 sticks on same date? It would not be worth it if I have to constantly appeal. Thank you in advance. Veronica

  2. #2
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    Quote Originally Posted by VeronicaAC1 View Post
    Hello...our group has never billed 3 separate venipunctures when doing a 3-hr glucose in the office but have recently been told we can and should bill for all 3. Is this correct? Will insurance pay for all 3 sticks on same date? It would not be worth it if I have to constantly appeal. Thank you in advance. Veronica
    IF the venipunctures are covered by the payer, you should be able to bill them. That's a pretty big 'if', though - many payers will consider them incidental to the labs. It varies a lot (sometimes it can vary from group to group, like with Blue Cross). Check your payers' policies and procedures. The reimbursement on 36415 is really low, so I agree that appealing denials is probably not cost-effective. We bill it out when we do it, and if it pays, it pays, but if it denies, we write it off. Hope that helps!

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