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Does Medicare pay for routine venipunctures?

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Does Medicare pay for routine venipunctures?
It depends on how the service is coded on the bill the doctor's office submits to Medicare for payment.

If it is coded "routine venipuncture (36415)", Medicare will pay $0. Medicare Supplemental insurance will also pay $0, since Medicare denied the claim for this service. The patient will be responsible for paying the full amount, typically around $20-25.

However, if it is coded "routine venipuncture for collection of specimen (G0001)", Medicare will pay the doctor, usually around $3, and the patient's responsibility will be $0.

It helps if you ask your doctor or doctor's nurse to check to make certain the procedure is coded as G0001.
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