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Hospital Code for Venipuncture Perfomed in Lab

Hello,

We code for a hospital who has an in-house lab. Occasionally patients will get their venipuncture done at the lab instead of in the clinic. Are we able to code for the 36415 under the ordering physician even if the provider didn’t draw the blood?

Thank you,
Krystal

Medical Billing and Coding Forum

36415 venipuncture code bcbsil

So we bill 36415 with modifier 59 to bcbs and it always gets paid. But now its being rejected as incidental to other labs. PEr bcbs agent, new guidelines since may 2017. Any idea how I can get the 36415 to get paid? Is anyone going thru the same problem. I work for two providers and both of them have the same issue.

Medical Billing and Coding Forum