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Venipuncture and E/M Services

  1. #1
    Default Venipuncture and E/M Services
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    Hello group, I have a phyisican that wants to bill an office charge 99213 with a venipuncture charge of 36415. The blood draw was done by ancillary staff in the office. Based on previous post and other resources, I am not sure this can be billed together. The phyisican wants something in writting stating that the blood draw is part of the E/M service. Can anyone direct me to a resource that states that, or give me a resource that states the CPT codes and be billed together.

    Thanks

  2. #2
    Location
    Columbia, MO
    Posts
    12,620
    Default
    Check CCI edits

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    Salt Lake City
    Posts
    841
    Default
    They do not bundle per CCI the only E&M code I can see that it is bundled to are the critical care codes
    Jenifer McPolin CPC, CPMA, RCC

  4. #4
    Default
    My practice bills E&M's with 36415 frequntley and we have no problems getting it paid. We have never had any insurance companies tell us these were bundled services.
    Brittany Purcell, CPC

  5. #5
    Default
    I did check CCI edits and there are no edits for these two codes together. I am still needing documentation to support or not support billing office visit codes 99212-99215 with 36415 (venipuncture).

    Thanks for the responses I appreciate all the help.

  6. #6
    Default
    Thanks Brittany, do you even get paid by Medicare?

  7. #7
    Location
    Ellenville, New York
    Posts
    1,177
    Default Not sure what you are looking for
    If you ran the codes through the CCI editor and did not get any results, shouldn't that be proof enough that at least for CMS, these can be billed together? Maybe print out the results and show this to whomever is looking for this proof? As you won't find LCD's on these procedures....

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  8. #8
    Default
    Quote Originally Posted by rbritton View Post
    Thanks Brittany, do you even get paid by Medicare?
    yes we do
    Brittany Purcell, CPC

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