Billing Beat

Billing Reminder for CPT Code 36415

October 25, 2012

CPT procedure code 36415 (collection of venous blood by venipuncture) was added as a covered service during the 2005 CPT code update. CPT code 36415 replaced G0001 as of January 1, 2005. Providers must use 36415 when billing this service to N.C. Medicaid. N.C. Medicaid will not reimburse for the collection of venous blood when providers performs testing in their facilities. Medicaid will only reimburse for the collection of venous blood when a provider draws the blood and sends it to a non-related outside facility without performing any testing. One collection fee is covered per beneficiary regardless of the number of specimens drawn.

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