Medicare and most insurance companies reimburse for specimen collection. Note that Medicare does not cover fingerstick blood collection, but other insurnace companies cover both fingerstick and venipuncure.
Coverage for Specimen Collection
CPT Code When to Use Description
G0001 Medicare Claims Venipuncture
36415 All other insurance claims Venipuncture
36416 All other insurance claims Capillary blood specimen (e.g. fingerstick, heal, earstick)
Billing for A1C Testing Including Office visit and specimen collection – Medicare Example
Most A1C testing can justify both an office visit and a specimen collection fee.
Example :
A patient who is takin medication and has an A1C test performed would be coded as follows:
CPT Code Venipuncture Fingerstick
Non physician office visit 99211 $20.00 $20.00
A1C test 83036-QW $13.56 $13.56
Venipuncture G0001 $3.00
Total $36.56 $33.56