2025 CPT code 36410
Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Venipuncture performed by a physician or other qualified healthcare professional for patients age 3 and older, required due to special circumstances (not routine venipuncture).
Yes, this code can be used with modifiers. Refer to source for list of applicable modifiers.
Medical necessity for this code must be supported by documentation indicating why the venipuncture required the specific skill of a physician or other qualified healthcare professional rather than standard clinical staff. This may include factors such as patient age, difficult venous access, or failed attempts by regular personnel.
The provider positions the patient, inserts the needle into the vein, confirms placement, and applies pressure after the procedure.
In simple words: This procedure involves a doctor or other qualified healthcare professional inserting a needle into a vein to draw blood or administer medication for patients who are three years old or older in situations where regular staff are unable to do so.
Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture).
Example 1: A 4-year-old child requires blood drawn for testing, but their veins are difficult to access, necessitating a physician's skill., A 70-year-old patient with fragile veins requires intravenous medication, and a physician must perform the venipuncture to avoid complications., A patient's routine venipuncture attempt by clinical staff is unsuccessful, requiring a physician to step in and complete the procedure due to their expertise.
Documentation must justify why the physician or QHP had to perform the venipuncture instead of the clinical staff. The medical record must reflect the clinical condition of the patient and explain why routine venipuncture was not possible.The age of the patient and the purpose of the venipuncture should also be documented.
- Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Emergency Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Home, Skilled Nursing Facility, Nursing Facility, Other Place of Service