2025 CPT code 36415
(Active) Effective Date: N/A Revision Date: N/A Laboratory Procedures - Vascular Procedures Surgery Feed
Collection of venous blood via venipuncture.
Modifiers may apply depending on circumstances; for example, modifier 59 might be used if multiple venipunctures are done on the same day under separate circumstances.
Medical necessity for this procedure is determined by the need for the blood test or diagnostic studies in the context of the patient's overall medical condition. Justification is found in the physician’s documentation linking the blood test results to the patient’s diagnosis and treatment plan.
The clinical responsibility for this procedure can vary depending on the setting. In most cases, a nurse or phlebotomist would be responsible for performing the procedure, however a physician may perform it in certain situations.
In simple words: This is a simple blood draw from a vein, typically in your arm. A needle is used to collect the blood sample. This is a routine procedure usually performed by a nurse or phlebotomist.
CPT code 36415 describes the procedure of collecting venous blood using venipuncture.This involves inserting a needle into a superficial vein, usually in the arm or hand, to obtain a blood sample. The procedure includes site preparation, needle insertion, blood collection, and application of pressure to the puncture site to prevent bleeding.This code is for routine venipuncture not requiring specialized physician skill.
Example 1: Routine blood draw for complete blood count (CBC) in a clinic setting., Blood collection for glucose testing during a routine check-up in a physician's office., Blood sample collection for drug screening at a laboratory.
Documentation should include the date and time of the venipuncture, the site of venipuncture, the volume of blood collected, and the type of specimen collected. In some cases, additional documentation such as the reason for the test and patient's vital signs may be needed.
** Medicare does not provide separate payment for this code when included in a comprehensive laboratory test;other payers may have different policies. Always consult your payer's specific guidelines.
- Revenue Code: This information is payer specific and needs further clarification.
- RVU: RVUs vary by payer.Medicare does not assign RVUs to this code.
- Global Days: The global surgical period does not apply to this code.
- Payment Status: Active, however payment varies by payer and may be bundled with other services.
- Modifier TC rule: Technical Component (TC) modifiers do not apply.
- Fee Schedule: Historical fee schedules are payer-specific and not consistently available in a single source.Contact your payer for historical fee information.
- Specialties:This procedure is utilized across many medical specialties.
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center, Urgent Care Facility, Laboratory, other.