Medicare Claims Processing Manual (Pub. 100-04), Ch. 16 § 60.1.4
Coding Requirements for Specimen Collection
60.1.4 - Coding Requirements for Specimen Collection
(Rev. 3056, Issued: 08-29-14, Effective: 04-01-14, Implementation: 12-01-14)
The following HCPCS codes and terminology must be used:
• 36415 - Collection of venous blood by venipuncture.
• G0471 - Collection of venous blood by venipuncture or urine sample by
catheterization from an individual in a skilled nursing facility (SNF) or by a
laboratory on behalf of a home health agency (HHA)
• P96l5 - Catheterization for collection of specimen(s).
The allowed amount for specimen collection in each of the above circumstances is
included in the laboratory fee schedule distributed annually by CMS.