CPT code 36416: Capillary collection, skin puncture2026 Medicare rate & RVUs in Missouri
Capillary blood collection covers obtaining a specimen by finger, heel, or ear stick, commonly for testing that uses a small blood sample.
CMS doesn’t publish an office rate for 36416 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 36416 covers
This service is the collection of a capillary blood specimen through a skin puncture, such as a finger stick, heel stick, or ear stick. Clinical staff commonly perform it in physician offices, clinics, and laboratory settings when a test calls for capillary rather than venous blood. The collection method is distinct from drawing blood through a vein, and the code describes collection rather than laboratory analysis.
Medicare assigns CPT 36416 payment status B: the code is bundled, is never paid separately, and its payment is included in payment for other services. Documentation should identify the capillary collection and connect it to the specimen or testing encounter. A venous draw is reported under a different collection code.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 36416 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
How the 36416 rate is calculated
Each of 36416’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36416
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36416
36416 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 36416
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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36416 isn’t priced in this setting.
36416 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36415VenipunctureRoutine venous sample
- 36416 is for capillary blood obtained by skin puncture; 36415 is for blood collected from a vein.
- 36405Scalp venipunctureYounger than 3 years
- 36405 describes venipuncture using a scalp vein in a child under 3 years. Use 36416 when the specimen is obtained by capillary puncture instead.
- 36406Pediatric venipunctureOther vein, under age three
- 36406 describes venipuncture using another vein in a child under 3 years; 36416 is capillary collection.
36416 billing questions
When should 36416 be used instead of 36415?
Use 36416 for a specimen obtained by skin puncture, such as a finger, heel, or ear stick. Use 36415 for venous blood collection.
Does Medicare pay 36416 separately?
No. Medicare assigns status B, meaning the service is bundled and never paid separately; its payment is included in payment for other services.
Does 36416 include the laboratory test?
The code describes obtaining the capillary specimen, not analyzing it.
What should documentation identify?
Identify the capillary collection and the specimen or testing encounter.
Does a modifier make 36416 separately payable?
No. Medicare classifies the code as bundled status B and never pays it separately.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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