When can code 36591 be reported for a Venous Access Device (VAD)?
Code 36591 (collection of a blood specimen from a completely implantable VAD) can only be utilized when the VAD blood draw is from a completely implanted device, such as a Porta-Cath or Mediport. CPT 36591 is designated as having a status indicator of “Q1.” A “Q1” is an “STV-packaged” procedure. A procedure that has this designation may be separately reported to Medicare, but separate payment will be received only if no other status indicator “S,” “T,” or “V,” APC is reimbursed.
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