The following CodeMap Compliance Briefing discusses coding, reimbursement, and other coverage and billing rules associated with blood draws or venipunctures. Some of the information included below has been included in previous briefings. However, we feel the number of emails we continue to receive concerning venipunctures warrants a comprehensive discussion of the associated rules and regulations at this time. Many providers remain confused as to how to code and bill for blood draws. In fact, many Medicare carriers in the past few months have addressed the confusion with special articles and coverage provisions in their monthly and quarterly bulletins. The following should also help to alleviate some of the existing confusion surrounding this topic.
Note to Our Radiology Subscribers: Next week's briefing will cover CCI edits for the new radiology codes that became effective January 1, 2004. Radiologists need to be aware of these edits to avoid costly denials.
Gregory Root, Esq.
When Will Medicare Pay for Venipunctures?
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