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billing for port draw 36591

garivo06 Posted Tue 16th of April, 2013 17:58:13 PM

Which are the guidelines to bill for this service please.

SuperCoder Answered Thu 18th of April, 2013 04:04:49 AM

If you-re drawing from a port, submit 36591 (Collection of blood specimen from a completely implantable venous access device).

Keep in mind: Although 36591 is accurate, many payers don't want providers drawing blood from the patient's port for convenience only. You-ll need a documented reason for medical necessity, such as being unable to access veins.

PICC note: If the patient has a PICC instead of a port, submit 36592 (Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified).

Because you-re sending the bloodwork to an outside laboratory, you also can report 99000 (Handling and/or conveyance of specimen for transfer from the physician's office to a laboratory). Some payers won't reimburse for the service, but your physician could consider negotiating it at contract time.

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