CPT 2026 · Surgery (Respiratory/Cardiovascular)

CPT 36416

Global XXX

Collj capillary blood spec

Effective 2026-04-01 Conv. factor $33.4009

Always bundled

Payment Methodology

Status Indicator

NCCI Partners

XXX

Global Period

Always bundled

CMS assigns this code a status indicator of "B", meaning it is not separately payable under the Physician Fee Schedule. Payment is bundled into another procedure.

CPT 36416 Billing & Documentation Guide

CPT code 36416 (Collj capillary blood spec) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. This code uses the Always bundled payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.

When billing 36416, 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 36416 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator

Bundled code (no separate payment, included in another service)

Global Period

XXX

No global period (E/M and other non-procedural services)

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service

Rationale: CMS Policy

Adjudication: Date of Service (Clinical)

Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 0 units of 36416 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 36416

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36416 on the same date of service, review the modifier indicator and payer policy before submission.

Partner Code	Relationship	Modifier Allowed	Rationale
36000	Column 1 (primary), can be billed with modifier	9	Standards of medical/surgical practice
36410	Column 1 (primary), can be billed with modifier	9	Standards of medical/surgical practice
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
37202	Column 1 (primary), can be billed with modifier	9	Misuse of Column Two code with Column One code
62318	Column 1 (primary), can be billed with modifier	9	Misuse of Column Two code with Column One code
62319	Column 1 (primary), can be billed with modifier	9	Misuse of Column Two code with Column One code
64415	Column 1 (primary), can be billed with modifier	9	Misuse of Column Two code with Column One code
64417	Column 1 (primary), can be billed with modifier	9	Misuse of Column Two code with Column One code
64450	Column 1 (primary), can be billed with modifier	9	Misuse of Column Two code with Column One code

Frequently Asked Questions, CPT 36416

What does CPT code 36416 mean? +

CPT code 36416 represents: Collj capillary blood spec. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.

What is the Medicare reimbursement for CPT 36416? +

CMS assigns this code a status indicator of "B", meaning it is not separately payable under the Physician Fee Schedule. Payment is bundled into another procedure.

What modifiers can I use with CPT 36416? +

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 36416? +

This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.