CPT code 99195: Therapeutic phlebotomy, therapeutic blood removal2026 Medicare rate & RVUs in Iowa
Report therapeutic phlebotomy when blood is removed as treatment, such as for hemochromatosis or polycythemia, rather than collected only for testing.
In Iowa, Medicare pays $88.99 for 99195 in the office.
Check a contract rate as a % of Medicare · 99195 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99195 covers
CPT 99195 represents blood removal for a therapeutic purpose, such as reducing iron stores in a patient with hemochromatosis or lowering red cell mass in a patient with polycythemia. It is distinct from drawing a sample for laboratory analysis. A physician or office staff member may perform the procedure in an outpatient setting; when staff perform it, Medicare treats the service as incident-to and requires physician supervision for billing.
Document the treatment indication and that therapeutic blood removal was performed; recording the amount removed helps show the service provided. Report 99195 for the therapeutic procedure, not for each specimen tube or laboratory test. A CBC or hematocrit may be reported separately when performed as a distinct test. Medicare payment requires physician supervision when the service is performed incident-to.
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.
How Iowa compares for 99195
Across 109 of 109 payment localities, the office rate for 99195 runs from $83.78 in Arkansas to $140.09 in San Benito County, CA. Iowa pays $88.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$88.99
- Los Angeles, CA · California$115.30+$26.31
- Washington, DC area · District of Columbia$115.57+$26.58
- Miami, FL · Florida$104.71+$15.72
- Chicago, IL · Illinois$100.84+$11.85
- Manhattan, NY · New York$114.81+$25.82
- Alaska · Alaska$103.72+$14.73
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $85.41 | — |
| ArkansasArkansas | $83.78 | — |
| ArizonaArizona | $94.97 | — |
| Bakersfield, CACalifornia | $106.81 | — |
| Chico, CACalifornia | $106.69 | — |
| El Centro, CACalifornia | $106.70 | — |
| Fresno, CACalifornia | $106.69 | — |
| Hanford, CACalifornia | $106.69 | — |
| Madera, CACalifornia | $106.69 | — |
| Merced, CACalifornia | $106.69 | — |
| Modesto, CACalifornia | $106.69 | — |
| Napa, CACalifornia | $128.07 | — |
| Oxnard, CACalifornia | $115.14 | — |
| Redding, CACalifornia | $106.69 | — |
| Rest of CaliforniaCalifornia | $106.69 | — |
| Riverside, CACalifornia | $107.22 | — |
| Sacramento, CACalifornia | $113.16 | — |
| Salinas, CACalifornia | $112.77 | — |
| San Diego, CACalifornia | $116.35 | — |
| Marin County, CACalifornia | $136.87 | — |
| San Francisco, CACalifornia | $136.82 | — |
| San Benito County, CACalifornia | $140.09 | — |
| Santa Clara County, CACalifornia | $139.86 | — |
| San Luis Obispo, CACalifornia | $110.84 | — |
| Santa Cruz, CACalifornia | $118.18 | — |
| Santa Maria, CACalifornia | $113.45 | — |
| Santa Rosa, CACalifornia | $119.43 | — |
| Stockton, CACalifornia | $106.69 | — |
| Vallejo, CACalifornia | $127.99 | — |
| Visalia, CACalifornia | $106.69 | — |
| Yuba City, CACalifornia | $106.69 | — |
| ColoradoColorado | $104.01 | — |
| ConnecticutConnecticut | $105.98 | — |
| DelawareDelaware | $96.87 | — |
| Fort Lauderdale, FLFlorida | $100.80 | — |
| Rest of FloridaFlorida | $94.79 | — |
| Atlanta, GAGeorgia | $100.08 | — |
| Rest of GeorgiaGeorgia | $88.09 | — |
| Hawaii, Guam, HIHawaii | $110.72 | — |
| IdahoIdaho | $89.60 | — |
| East St. Louis, ILIllinois | $92.17 | — |
| Rest of IllinoisIllinois | $90.74 | — |
| Suburban Chicago, ILIllinois | $102.09 | — |
| IndianaIndiana | $90.29 | — |
| KansasKansas | $88.10 | — |
| KentuckyKentucky | $87.34 | — |
| New Orleans, LALouisiana | $92.73 | — |
| Rest of LouisianaLouisiana | $87.03 | — |
| Metropolitan Boston, MAMassachusetts | $116.74 | — |
| Rest of MassachusettsMassachusetts | $102.98 | — |
| Baltimore area, MDMaryland | $105.64 | — |
| Rest of MarylandMaryland | $99.22 | — |
| Rest of MaineMaine | $89.85 | — |
| Southern Maine, MEMaine | $96.71 | — |
| Detroit, MIMichigan | $95.97 | — |
| Rest of MichiganMichigan | $90.02 | — |
| MinnesotaMinnesota | $99.82 | — |
| Metropolitan Kansas City, MOMissouri | $92.27 | — |
| Metropolitan St. Louis, MOMissouri | $93.57 | — |
| Rest of MissouriMissouri | $84.83 | — |
| MississippiMississippi | $84.35 | — |
| MontanaMontana | $98.20 | — |
| North CarolinaNorth Carolina | $91.13 | — |
| North DakotaNorth Dakota | $97.21 | — |
| NebraskaNebraska | $89.73 | — |
| New HampshireNew Hampshire | $101.95 | — |
| Northern New JerseyNew Jersey | $113.76 | — |
| Rest of New JerseyNew Jersey | $107.24 | — |
| New MexicoNew Mexico | $90.52 | — |
| NevadaNevada | $98.02 | — |
| NYC suburbs and Long Island, NYNew York | $117.87 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $107.72 | — |
| Queens, NYNew York | $116.51 | — |
| Rest of New YorkNew York | $92.88 | — |
| OhioOhio | $89.81 | — |
| OklahomaOklahoma | $87.50 | — |
| Portland, OROregon | $108.49 | — |
| Rest of OregonOregon | $97.32 | — |
| Metropolitan Philadelphia, PAPennsylvania | $102.48 | — |
| Rest of PennsylvaniaPennsylvania | $90.19 | — |
| Puerto RicoPuerto Rico | $99.24 | — |
| Rhode IslandRhode Island | $101.20 | — |
| South CarolinaSouth Carolina | $90.61 | — |
| South DakotaSouth Dakota | $97.09 | — |
| TennesseeTennessee | $88.64 | — |
| Austin, TXTexas | $103.61 | — |
| Beaumont, TXTexas | $89.39 | — |
| Brazoria, TXTexas | $96.96 | — |
| Dallas, TXTexas | $97.58 | — |
| Fort Worth, TXTexas | $96.63 | — |
| Galveston, TXTexas | $97.24 | — |
| Houston, TXTexas | $98.15 | — |
| Rest of TexasTexas | $93.11 | — |
| UtahUtah | $92.24 | — |
| VirginiaVirginia | $96.07 | — |
| Virgin Islands, VIUnited States Virgin Islands | $99.24 | — |
| VermontVermont | $96.41 | — |
| Rest of WashingtonWashington | $102.92 | — |
| King County, WAWashington | $119.81 | — |
| WisconsinWisconsin | $92.99 | — |
| West VirginiaWest Virginia | $86.27 | — |
| WyomingWyoming | $97.76 | — |
99195 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$83.78
$123.39
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $103.72 | 1 |
| AL | $85.41 | 1 |
| AR | $83.78 | 1 |
| AZ | $94.97 | 1 |
| CA | $106.69–$140.09 | 29 |
| CO | $104.01 | 1 |
| CT | $105.98 | 1 |
| DC | $115.57 | 1 |
| DE | $96.87 | 1 |
| FL | $94.79–$104.71 | 3 |
| GA | $88.09–$100.08 | 2 |
| GU | $110.72 | 1 |
| HI | $110.72 | 1 |
| IA | $88.99 | 1 |
| ID | $89.60 | 1 |
| IL | $90.74–$102.09 | 4 |
| IN | $90.29 | 1 |
| KS | $88.10 | 1 |
| KY | $87.34 | 1 |
| LA | $87.03–$92.73 | 2 |
| MA | $102.98–$116.74 | 2 |
| MD | $99.22–$115.57 | 3 |
| ME | $89.85–$96.71 | 2 |
| MI | $90.02–$95.97 | 2 |
| MN | $99.82 | 1 |
| MO | $84.83–$93.57 | 3 |
| MS | $84.35 | 1 |
| MT | $98.20 | 1 |
| NC | $91.13 | 1 |
| ND | $97.21 | 1 |
| NE | $89.73 | 1 |
| NH | $101.95 | 1 |
| NJ | $107.24–$113.76 | 2 |
| NM | $90.52 | 1 |
| NV | $98.02 | 1 |
| NY | $92.88–$117.87 | 5 |
| OH | $89.81 | 1 |
| OK | $87.50 | 1 |
| OR | $97.32–$108.49 | 2 |
| PA | $90.19–$102.48 | 2 |
| PR | $99.24 | 1 |
| RI | $101.20 | 1 |
| SC | $90.61 | 1 |
| SD | $97.09 | 1 |
| TN | $88.64 | 1 |
| TX | $89.39–$103.61 | 8 |
| UT | $92.24 | 1 |
| VA | $96.07–$115.57 | 2 |
| VI | $99.24 | 1 |
| VT | $96.41 | 1 |
| WA | $102.92–$119.81 | 2 |
| WI | $92.99 | 1 |
| WV | $86.27 | 1 |
| WY | $97.76 | 1 |
How the 99195 rate is calculated
Each of 99195’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 · 99195
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense2.89
2.89 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.9400
Conversion factor
$33.4009
Medicare rate
$98.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,007
- Code
- 99195
- Physician work
- 0.00
- Practice expense
- 2.89
- Malpractice
- 0.05
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 2.89 | × 0.915 | 2.6444 |
| Malpractice | 0.05 | × 0.397 | 0.0199 |
| Total RVUs | 2.6642 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$88.99
Office: (0 × 1 + 2.89 × 0.915 + 0.05 × 0.397) × $33.4009 = $88.99
Payment rules and modifiers for 99195
The CMS indicators that decide how 99195 is paid alongside other services.
CMS payment indicators · 99195
Therapeutic phlebotomy, therapeutic blood removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
How 99195 has changed in Iowa
99195 · Office / nonfacility
$88.99
Effective 2026-10-01
The base rate is $10.14 higher than on 2025-10-01, moving from $78.85 to $88.99 (12.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$78.85changed to$88.99
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 2.65 changed to 2.89
- Malpractice RVU 0.04 changed to 0.05
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$86.31changed to$78.85
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.81 changed to 2.65
- Malpractice RVU 0.06 changed to 0.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$84.90changed to$86.31
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$88.47changed to$84.90
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.84 changed to 2.81
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$93.31changed to$88.47
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.94 changed to 2.84
- Malpractice RVU 0.07 changed to 0.06
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$97.42changed to$93.31
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.05 changed to 2.94
- Malpractice RVU 0.06 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$92.24changed to$97.42
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.79 changed to 3.05
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$92.44changed to$92.24
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.80 changed to 2.79
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$93.32changed to$92.44
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.83 changed to 2.80
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$90.66changed to$93.32
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.77 changed to 2.83
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$89.60changed to$90.66
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.76 changed to 2.77
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$90.25changed to$89.60
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.77 changed to 2.76
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$89.80changed to$90.25
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$87.45changed to$89.80
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.71 changed to 2.77
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$90.41changed to$87.45
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.97 changed to 2.71
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $90.41
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $88.99 | Not available in this setting | RVU26D |
| 2026-07-01 | $88.99 | Not available in this setting | RVU26C |
| 2026-04-01 | $88.99 | Not available in this setting | RVU26B |
| 2026-01-01 | $88.99 | Not available in this setting | RVU26A |
| 2025-10-01 | $78.85 | Not available in this setting | RVU25D |
| 2025-07-01 | $78.85 | Not available in this setting | RVU25C |
| 2025-04-01 | $78.85 | Not available in this setting | RVU25B |
| 2025-01-01 | $78.85 | Not available in this setting | RVU25A |
| 2024-10-01 | $86.31 | Not available in this setting | RVU24D |
| 2024-07-01 | $86.31 | Not available in this setting | RVU24C |
| 2024-04-01 | $86.31 | Not available in this setting | RVU24B |
| 2024-03-09 | $86.31 | Not available in this setting | RVU24AR |
| 2024-01-01 | $84.90 | Not available in this setting | RVU24A |
| 2023-10-01 | $88.47 | Not available in this setting | RVU23D |
| 2023-07-01 | $88.47 | Not available in this setting | RVU23C |
| 2023-04-01 | $88.47 | Not available in this setting | RVU23B |
| 2023-01-01 | $88.47 | Not available in this setting | RVU23A |
| 2022-10-01 | $93.31 | Not available in this setting | RVU22D |
| 2022-07-01 | $93.31 | Not available in this setting | RVU22C |
| 2022-04-01 | $93.31 | Not available in this setting | RVU22B |
| 2022-01-01 | $93.31 | Not available in this setting | RVU22A |
| 2021-10-01 | $97.42 | Not available in this setting | RVU21D |
| 2021-07-01 | $97.42 | Not available in this setting | RVU21C |
| 2021-04-01 | $97.42 | Not available in this setting | RVU21B |
| 2021-01-01 | $97.42 | Not available in this setting | RVU21A |
| 2020-10-01 | $92.24 | Not available in this setting | RVU20D |
| 2020-07-01 | $92.24 | Not available in this setting | RVU20C |
| 2020-04-01 | $92.24 | Not available in this setting | RVU20B |
| 2020-01-01 | $92.24 | Not available in this setting | RVU20A |
| 2019-10-01 | $92.44 | Not available in this setting | RVU19D |
| 2019-07-01 | $92.44 | Not available in this setting | RVU19C |
| 2019-04-01 | $92.44 | Not available in this setting | RVU19B |
| 2019-01-01 | $92.44 | Not available in this setting | RVU19A |
| 2018-10-01 | $93.32 | Not available in this setting | RVU18D |
| 2018-07-01 | $93.32 | Not available in this setting | RVU18C |
| 2018-04-01 | $93.32 | Not available in this setting | RVU18B |
| 2018-01-01 | $93.32 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $90.66 | Not available in this setting | RVU17D |
| 2017-07-01 | $90.66 | Not available in this setting | RVU17C |
| 2017-04-01 | $90.66 | Not available in this setting | RVU17B |
| 2017-01-01 | $90.66 | Not available in this setting | RVU17A |
| 2016-10-01 | $89.60 | Not available in this setting | RVU16D |
| 2016-07-01 | $89.60 | Not available in this setting | RVU16C |
| 2016-04-01 | $89.60 | Not available in this setting | RVU16B |
| 2016-01-01 | $89.60 | Not available in this setting | RVU16A |
| 2015-10-01 | $90.25 | Not available in this setting | RVU15D |
| 2015-07-01 | $90.25 | Not available in this setting | RVU15C |
| 2015-04-01 | $89.80 | Not available in this setting | RVU15B |
| 2015-01-01 | $89.80 | Not available in this setting | RVU15A |
| 2014-10-01 | $87.45 | Not available in this setting | RVU14D |
| 2014-07-01 | $87.45 | Not available in this setting | RVU14C |
| 2014-04-01 | $87.45 | Not available in this setting | RVU14B |
| 2014-01-01 | $87.45 | Not available in this setting | RVU14A |
| 2013-10-01 | $90.41 | Not available in this setting | RVU13D |
| 2013-07-01 | $90.41 | Not available in this setting | RVU13C |
| 2013-04-01 | $90.41 | Not available in this setting | RVU13B |
| 2013-01-01 | $90.41 | Not available in this setting | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
99195 billing questions
How is 99195 different from 36415?
99195 represents blood removal as treatment, such as for hemochromatosis or polycythemia. Code 36415 represents routine venous blood collection for testing.
Can a CBC or hematocrit be reported with 99195?
A CBC or hematocrit may be separately reported when the test is performed as a distinct service, such as monitoring blood counts. The test result alone does not establish that therapeutic phlebotomy was performed.
What documentation supports reporting 99195?
Document the therapeutic indication and that blood was removed as treatment. Including the amount removed helps describe the procedure performed.
Who may perform the procedure for Medicare billing?
The service is billed as incident-to and, when performed by staff, requires physician supervision.
Is 99195 reported for each tube collected?
No. The code represents therapeutic blood removal, not the number of diagnostic specimen tubes.
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
Show the CMS file lines behind this rate
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