AHA Coding Clinic® for HCPCS - 2005 Issue 2; FOR your INFORMATION
Billing for venipuncture
Effective for services on or after January 1, 2005, HCPCS code G0001 has been deleted from the OPPS OCE and discontinued from HCPCS. Codes 36415, Collection of venous blood by venipuncture, and 36416, Collection of capillary blood specimen (eg, finger, heel, ear stick), should be used instead to report venipunctures for hospitals paid under the OPPS. The instructions for billing venipunctures remain the same. The venipuncture is billed only once per day, per encounter, for each type of specimen, regardless of the number of specimens drawn. When a series of specimens are required to complete a single test (e...
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Article Overview
This premium article addresses how venipuncture and related specimen collection are reported for hospitals paid under the OPPS. It is aimed at coding and billing professionals who need to understand the applicable HCPCS/CPT reporting structure, the effective date of a code change, and the general billing guidance discussed in the article.
Why This Topic Matters
Accurate reporting of specimen collection affects hospital outpatient billing and compliance, especially when legacy codes are discontinued and replaced by current reporting options.
What You Will Learn
- Which specimen collection reporting topics are covered for hospital outpatient billing.
- How a deleted HCPCS code change is discussed in relation to specimen collection reporting.
- What general billing considerations the article raises for venipuncture services.
- How the article frames reporting for encounters involving multiple specimens or series of specimens.
Who Should Read This
- Hospital outpatient coding staff
- Billing professionals
- Revenue cycle teams
- Compliance personnel
- Medical coding auditors
Codes Discussed
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