Forum - Questions & Answers

Feb 29th, 2012 - rhina 52 

99195-Phlebotomy?

Hi,
Can somebody tell me what is the common use of 99195? If we can add CPT® code and E/M code at the same time without any modifiers used?

Just like for e.g.
DX code: 607.84 , 401.1 , 715.16 , 692.9.
CPT® code: 99214 and 99195

Is it necessary to used 99195? And TOS of 99195 is 5-lab? Or should I use 36415?

Thanks

Feb 29th, 2012 -

re: 99195-Phlebotomy?

Phlebotomy is the draining of blood for therapeutic purposes (modern day blood letting). Most common for hemochromatosis with iron overload. It is not the same as drawing blood for a lab test-36415

Mar 1st, 2012 - rhina 52 

re: 99195-Phlebotomy?

If patient came in, just to had a blood work? What code should I used? Lot of patient came in just to have the blood work
Thanks

Mar 1st, 2012 - Codapedia Editor 1,399 

re: 99195-Phlebotomy?

36415

Apr 19th, 2012 - rhina 52 

re: 99195-Phlebotomy?

Do I still need to use e/m code 99211. Nurse is the one who did the lab draw? And what are common icd 9 code if the patient came in just to have the blood draw?

Apr 19th, 2012 - nmaguire   2,606 

re: 99195-Phlebotomy?

36415 for blood draw, not 99211. The diagnosis would be the condition requiring the blood work.

Apr 24th, 2012 - rhina 52 

re: 99195-Phlebotomy?

Yes.. 36415 is the appropriate CPT® code for lab draw. At the same time can I use 99211?

Apr 24th, 2012 - youngblood 278 

re: 99195-Phlebotomy?

Only with adequate documentation meeting the CPT® requirements (in addition to the draw).

Apr 24th, 2012 - rhina 52 

re: 99195-Phlebotomy?

I got it. Thanks to you guys...
Bless us!!!!

Apr 24th, 2012 - nmaguire   2,606 

re: 99195-Phlebotomy?

Not unless a separate identifiable and medically necessary visit was performed and documented. Why 99211?

Apr 24th, 2012 - nmaguire   2,606 

re: 99195-Phlebotomy?

Not just for blood draw

Apr 24th, 2012 - youngblood 278 

re: 99195-Phlebotomy?

And a caveat: The "nurse" visit will most likely be assessed a copay. So, you should warn the patient ahead of time, or risk bad will and phone calls on the back end.



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