99395 & 36415

I am receiving a denial from Aetna for the CPT® 36415 stating that when we are billing the CPT® 36415 with 99395, Aetna says that;

"CPT® code 36415 is covered in the payment for the code 99395 - means the CPT® 36415 is bundled with 99395".

Can we bill 36415 with 59 modifier to resolve this issue ?

re: 99395 & 36415

36415 is a separate procedure. This is not to be used for diagnostic or therapeutic purposes (not used for routine venipuncture). That is why they are bundling it. If you own the lab within your practice and also bill for the lab panel or test then the lab test along with 36415 would be billed on a UB claim form for the facility side.