Does Medicare pay for routine venipunctures?

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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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