Monday, June 28, 2010

CPT venipuncture - 36415 - Not seperately paid

Venipuncture

When blood is drawn to be sent to a reference lab, use code 36415 for the venipuncture. HCPCS Code G0001 was deleted in 2005. The most appropriate current code for G0001 is 36415 and the current fee for this is $3.00.


• CPT 36415 will not be separately reimbursed when submitted with the following CPT codes:

80048 82247 82728 83655 84450 85651
80050 82306 82784 83891 84460 85652
80051 82310 82785 84132 84550 86003
80053 82378 82947 84144 84702 86038
80055 82465 82948 84146 84703 86304
80061 82533 82950 84153 85007 86308
80069 82550 82951 84402 85013 86592
80074 82565 82962 84403 85014 86677
80076 82575 83001 84432 85018 86703
82040 82607 83036 84436 85025 86706
82105 82627 83516 84439 85027 86787
82150 82670 83540 84443 85610


• CPT 36416 will not be separately reimbursed when submitted with the following CPT codes:

80061 82947 83036 85014 85027
82247 82948 83655 85018 85610
82465 82962 85013 85025
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1 comments:

Anonymous said...

Does Virginia medicaid pay for 85018 when billed with 99383.

October 27, 2011 at 9:51 AM

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Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
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Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


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[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
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Medicare fee schedule download