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2025 HCPCS code S9529

Routine venipuncture for collecting specimens from a homebound, nursing home, or skilled nursing facility patient.

Refer to the most current HCPCS coding guidelines and payer-specific guidelines for accurate billing.Note that Medicare does not pay for this code.

Modifiers may be applicable depending on the circumstances of the service.Consult appropriate guidelines for additional information.

Medical necessity for this service is determined by the patient's medical condition requiring blood tests.The ordering physician's documentation should clearly justify the need for home venipuncture, which may be necessary for patients who are unable to travel to a clinical laboratory.

A qualified healthcare professional (nurse, phlebotomist, or physician) is responsible for performing the venipuncture safely and accurately. This includes proper site preparation, needle insertion, blood collection, and hemostasis.

IMPORTANT May be cross-referenced with other codes depending on the specific circumstances and additional services provided.Check with individual payers for specific coding guidelines.

In simple words: This code covers the cost of a healthcare professional coming to your home, nursing home, or skilled nursing facility to draw blood.

This HCPCS code, S9529, represents the procedure of routine venipuncture for the collection of blood specimens from a single patient residing at home, in a nursing home, or a skilled nursing facility (SNF).A qualified healthcare professional performs the venipuncture, which involves cleansing the venipuncture site, applying a tourniquet, inserting a needle into a vein, collecting the blood sample, and applying pressure to the site to stop bleeding.The code is specifically for situations where a qualified professional travels to the patient's location to perform this service.

Example 1: A homebound patient requires regular blood draws for monitoring their condition. A nurse visits their home to perform the venipuncture and collect the specimen., A nursing home resident needs blood work, but the facility does not have a qualified professional to perform the procedure. A visiting phlebotomist uses code S9529., A patient in a skilled nursing facility requires blood tests as part of their post-operative care. An on-site or visiting qualified professional performs the blood draw.

* Patient's medical record documenting the need for the blood draw.* Documentation of the healthcare professional's visit to the patient's home, nursing home, or SNF.* The date and time of the venipuncture procedure.* The type and amount of blood collected.* Any complications or adverse events encountered during the procedure.

** This code does not include the laboratory testing itself; only the venipuncture service for blood collection.Payment for this service varies widely by payer. Check with the payer for specific reimbursement policies.

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