Health Information Management

In 2005, report venipunctures using 36415

APCs Insider, December 3, 2004

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

In 2005, report venipunctures using 36415

Q: I noticed that G0001 is a deleted code for 2005.  This is the code Medicare has required for venipuncture in the past. What should we report beginning January 1, 2005 for this service?

A: Although CMS has not published a transmittal regarding this deleted HCPCS code or its replacement code 36415, it is possible to piece together various official transmittals and get the answer. G0001 is deleted effective January 1, 2005.  Refer to the 2005 HCPCS file on the CMS clinical lab fee schedule Web site at the following link: www.cms.hhs.gov/providers/pufdownload/clfdown.asp

Further information can be found at the following CMS Web site as well: www.cms.hhs.gov/medlearn/matters/mmarticles/2005/MM3526.pdf

The 2005 clinical lab fee schedule no longer contains G0001, but it does contain 36415 with the standard $3.00 payment rate that G0001 has had for as long as most of us can remember. Therefore, we should be able to report 36415 to Medicare in place of G0001. 

 



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular