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00.01.52ad, Bundled Procedure Codes
Act
by Nov 2, 2026
Effective date
Nov 2, 2026
Identified
Oct 2, 2026
Summary
Independence Blue Cross has updated policy 00.01.52ad to clarify that venipuncture (CPT codes 36400, 36405, 36406, 36410, 36415, 36416, 36591, 36592) is not eligible for separate reimbursement to outpatient facilities when performed incidental to laboratory services. These codes are now added to Attachment D, meaning they cannot be billed separately when reported with other services on the same date by the same provider.
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What to do
by Nov 2, 2026 · 4 steps
01Billing team must update billing system edits to prevent separate reimbursement of CPT codes 36400, 36405, 36406, 36410, 36415, 36416, 36591, and 36592 when billed with other services (same provider, same member, same date of service) for outpatient facility claims.
02Update UB-04/837i claim submission rules to bundle these venipuncture codes into lab service reimbursement.
03Communicate to lab coordinators and providers that these codes should not be billed separately.
04Configure system to automatically deny or bundle these charges when submitted with laboratory procedures.
If missed: Failure to implement will result in claim denials and potential member billing violations.
Codes mentioned
3640036405364063641036415364163659136592
Original notice
00.01.52ad, Bundled Procedure Codes
medpolicy.ibx.com · Always check the source before changing claims.