Billing and Coding: Venipuncture Necessitating Physician’s Skill for Specimen Collection – Supplemental Instructions Article

CPT 36415 is the correct code for routine venipuncture of superficial peripheral veins (upper/lower extremities), while CPT 36410 is reserved for venipuncture necessitating physician skill (neck, deep thoracic, groin veins, or when trained personnel are insufficient). Claims for CPT 36410 must include ICD-10-CM I87.8, I99.8, or R68.89; multiple venipunctures during a single encounter are billed once with units=1, and ABN/modifier and specific Part A/B claim documentation requirements apply.

"Submit CPT 36415 for routine venipuncture of superficial peripheral veins of the upper or lower extremities and for all routine venipunctures not requiring physician skill."

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