How does a health department bill for a venipuncture?
The N.C. Medicaid program reimburses for venipuncture specimen collection, code G0001, only to the provider who extracted the specimen. The provider billing for this collection fee must send the lab work outside the office to be performed. One collection fee is allowed for each recipient per date of service, regardless of the number of specimens drawn. • What modifier should be appended with G0001, venipuncture specimen collection? No modifier should be appended with G0001. • The table on page 22 of the May 2000 Special Bulletin lists procedure codes that may not be billed in addition to 59425 and 59426. Does that mean that other laboratory services may be billed separately? All services rendered to Medicaid recipients must be medically necessary. When the provider determines additional laboratory diagnostic tests are medically necessary during a prenatal visit, the laboratory test may be billed. • What is the appropriate code to use when billing for a purified protein derivative (PPD)
