Implantable Venous Access blood draw and billing for access

I believe that accessing a chest port (Implantable Venous device) is bundled when the device must be accessed for a procedure, such as a CT scan.

However, can I code 36591 if the patient has blood work that they would normally go to the lab for but I am just drawing it as a courtesy prior to doing a CT scan? The blood work is not associated with the CT scan.

Can I bill for the supplies to access the port prior to the CT scan?

re: Implantable Venous Access blood draw and billing for access

Both the port draw 36591 and flush 96523 are stand alone codes. Per the coding guidelines, they are not to be billed on the same DOS as *any* other service. Regardless of whether the draw was unrelated to the reason for the CT, the draw should be bundled/denied.