CPT^® 99195, Under Other Medicine Services and Procedures

The Current Procedural Terminology (CPT^®) code 99195 as maintained by American Medical Association, is a medical procedural code under the range - Other Medicine Services and Procedures.

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Summary

The provider removes venous blood from a patient, similar to a blood donation, to reduce the number of red blood cells or treat a high level of iron or potassium in the blood.

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Forum

Have a question about CPT Code 99195 ? Start a discussion here

55ML OF THERAPEUTIC PHLEBOTOMY

99195 is not a volume-specific code. I have never used a modifier when we removed less volume than planned. If you consider it to be an incomplete procedure, review modifier 52 and see if you want t... [ Read More ]

Is a phlebotomy performed in the office excluded from the SNF consolidated billing?

Therapeutic phlebotomy (CPT 99195) is not on the list of codes excluded from SNF consolidated billing, so you will not be able to obtain payment from Medicare Part B. Your office should bill the SNF ... [ Read More ]

Bloodletting Coding

Therapeutic phlebotomy is the 99195 code. The 86960 code is a laboratory code.... [ Read More ]

Bloodletting Coding

Hello all! I received an email from an MD asking me this question about Bloodletting: [I] The ICD-10 code we use for that procedure is D75.1. But I am now confused about the CPT code. It is un... [ Read More ]

Phlebotomy/Hydration Issue--

This is a facility based question. When charging for phlebotomy with hydration (99195 and 96360-96361, if required), is hydration charging when patient receives 500 ml of hydration or less? Please no... [ Read More ]

Billing for phlebotomy tx

[b]Phlebotomy[/b] CPT 99195 is for therapeutic purposes. The referring provider would also be the one you would want to get the order from.... [ Read More ]

36000 with 99195?

It is correct that 99195 includes 36000. However, 99195 is considered to be a separate procedure. Here's an interesting extract from the Medicine Guidelines: Separate Procedures: Second paragraph: "Ho... [ Read More ]

Billing therapeutic phlebotomy and E/M

I agree with skeeley in that a modifier 25 is necessary when an E&M is billed separately with a 99195. The 99195 has a global surgical indicator of XXX. Per the NCCI guidelines, the global rules do ... [ Read More ]

Billing therapeutic phlebotomy and E/M

If you go to the NCCI coding edits page ([url]http://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/NCCI-Coding-Edits.html[/url]) and look up that code combination (99195 and 9920*), it tells yo... [ Read More ]

Billing therapeutic phlebotomy and E/M

Pt is seen with hematochrosis, provider decides to perform a therapeutic phlebotomy -Code 99195 out of that new pt visit. How would you bill? I'm getting different answers... Bill the E/M and the 991... [ Read More ]

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