CPT 36415
Global XXXColl venous bld venipuncture
This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.
CPT 36415 Billing & Documentation Guide
CPT code 36415 (Coll venous bld venipuncture) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.
When billing 36415, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 36415 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Coding Tips for 36415
Real-world specialist guidance from the PayerReady Medical Coding Team, not generic boilerplate.
Venipuncture, routine (36415). Paid about $3 Medicare non-facility. Cannot be billed with modifier 51 (multiple procedures) since it is a low-RVU code already paid at full rate.
Billable once per patient encounter regardless of how many tubes are drawn. Billing multiple units on the same day will trigger MUE rejection.
Not billable with venipuncture that is inherently part of another procedure (IV access for infusion 96374, central line placement). Standalone draw for lab work only.
Payment Status & Global Period
Statutory exclusion
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 36415 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
NCCI Bundling Edits, CPT 36415
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36415 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99211 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 99211 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0232T | Column 2 (secondary), bundled into primary | Yes | CPT Manual or CMS manual coding instruction |
| 0481T | Column 2 (secondary), bundled into primary | Yes | CPT Manual or CMS manual coding instruction |
| 99291 | Column 2 (secondary), bundled into primary | Yes | CPT Manual or CMS manual coding instruction |
| 99291 | Column 2 (secondary), bundled into primary | Yes | CPT Manual or CMS manual coding instruction |
| 99293 | Column 2 (secondary), bundled into primary | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 36415
What does CPT code 36415 mean? +
CPT code 36415 represents: Coll venous bld venipuncture. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36415? +
This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.
What modifiers can I use with CPT 36415? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 36415? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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