The Current Procedural Terminology (CPT ®) code 36415 as maintained by American Medical Association, is a medical procedural code under the range - Venipuncture and Transfusion Procedures. Subscribe to Codify by AAPC and get the code details in a flash.

2016年1月1日 · 36415 is a laboratory service and should be billed as such. Physicians often provide routine venipuncture to patients when ordering a laboratory test to save the patient a trip to the laboratory. This service is reported with CPT® 36415 Collection of venous blood by venipuncture. Although reimbursement is only $3, the Centers for Medicare ...

2018年6月19日 · CPT code 36415 describes collection of venous blood by venipuncture. Each unit of service (UOS) of this code includesall collections of venous blood by venipuncture during a singleepisode of care regardless of the number of times venipuncture isperformed to collect venous blood specimens.

2012年10月26日 · Humana is one payor that we do not get reimbursed for 36415. I believe it depends on your contract. If your office recently resigned contracts, they may have added that in there. I would either call the payor to find out their reasoning and appeal the claims. You might want to have someone discuss this at negotiation time.

2019年5月17日 · Per the CCI edits an E&M code and 36415 are not bundled together; so technically a modifier 25 is not required. With that said many carriers will not pay on the 36415 as they consider it "bundled". So this is one of those grey areas. If the blood collection was truly separate from the E&M or reason for the visit then you would bill for the 36415.

2014年9月18日 · We get paid every time on 36415 - a whopping $3, minus 6 cents for sequestration One reason you may not be getting paid is if you are trying to bill 36415 (venipuncture) for an 83036 (fingerstick-type lab) Also, I have heard that some states/Medicare jurisdictions will not pay 36415 for FNPs working off their own NPI

2015年3月19日 · Per CPT® instruction, never append modifier 63 Procedure performed on infants less than 4kg to 36415, even for very young and small patients. The CMS 2015 National Physician Fee Schedule Relative Value File assigns 36415 an “X” status code, meaning that the service is “not in the statutory definition of ‘physician services’ for fee ...

2010年12月15日 · The established visit by a physician came out a 99213, but a nurse did a ventipuncture to test for digoxin poisoning. Is this just a 99213, or can it be 99213-25 with 36415.:confused:

2015年8月19日 · I dropped a claim for Aetna Better Health. 99214,25 and 36415 E/M got paid, 36415 got denied. I re-dropped 99214 and 36415 - denied They said that I am missing a modifier for 36415. I re-dropped again, 99214,25 and 36415, 59. - denied again. Which modifier should I attach to 36415...

2024年12月13日 · Question: What are the differences between venipuncture codes 36400-36410, 36420-36425, and 36415 other than the age [...] General Surgery Coding: Drain the Confusion From This Pleural Drainage Procedure Question: Our surgeon wrote an op note in which they drained pleural fluid and performed a [...] General Coding: Appending Modifier 22?