36415
No office rateColl venous bld venipuncture
36415 describes routine venous blood collection. Choose 36410 when the diagnostic or therapeutic puncture requires physician or qualified health care professional skill.
On this page
CMS RVU26D · Effective 2026-10-01
36410 Skilled venipuncture Medicare reimbursement rates in Virginia
Report skilled venipuncture for a patient age three or older when diagnostic or therapeutic access requires physician or qualified health care professional skill. Compare 36410 office and facility rates across CMS payment localities in Virginia.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 36410 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$18.63–$21.64
2 of 2 localities have a supported rate.
Facility setting
$7.80–$8.65
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Venous access
About 36410: Skilled venipuncture, age three or older
Report skilled venipuncture for a patient age three or older when diagnostic or therapeutic access requires physician or qualified health care professional skill.
CPT 36410 represents a skilled needle puncture of a vein for diagnostic or therapeutic purposes in a patient age three or older. A physician or qualified health care professional performs it when the access requires that level of skill, such as a difficult venous draw for laboratory testing or access needed for treatment. It is not the routine venous blood collection performed through ordinary venipuncture.
Select the code based on the patient’s age, purpose, and documented need for skilled venous access. The record should identify the diagnostic or therapeutic reason and support why the puncture required physician or qualified professional skill rather than routine collection. When multiple procedures subject to the standard reduction are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
CMS billing rules for 36410
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU0.18 · 32%
- Practice expense (office) RVU0.37 · 65%
- Malpractice RVU0.02 · 4%
108.4K
Medicare services in 2024 · #533 by national volume
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.
36410 compared with similar codes
Office rates for Virginia, from the same CMS release.
$26.95–$30.69
36400 is for a patient under three and specifies femoral or jugular venipuncture; 36410 is for age three or older.
$23.63–$27.04
36405 covers scalp-vein venipuncture in a patient under three. Age and vein site distinguish it from 36410.
No office rate
36420 involves venous access by cutdown in a patient under one. 36410 describes skilled needle venipuncture in a patient age three or older.
Compare 36410 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$21.64
Facility
$8.65
Virginia →
Office / nonfacility
$18.63
Facility
$7.80
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36410 billing questions
When should 36410 be reported instead of 36415?
Use 36410 when venipuncture for a diagnostic or therapeutic purpose requires physician or qualified health care professional skill. Use 36415 for routine venous blood collection.
Can 36410 be reported for a patient younger than three?
No. This code is for patients age three or older; the pediatric venipuncture codes distinguish younger patients by age and vein site.
Can 36410 and 36415 be reported for the same puncture?
Do not count one venipuncture twice as both skilled and routine collection. Report the code that reflects the service actually performed and the skill it required.
How does the multiple procedure reduction affect 36410?
When multiple procedures subject to the standard reduction occur in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
What documentation supports 36410?
Document the diagnostic or therapeutic purpose, the patient’s age, and the reason the venipuncture required physician or qualified health care professional skill rather than routine collection.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,46736400,,Vnpnxr<3yrs phy/qhp fem/jug,A,,0.37,0.43,,0.08,,0.02,0.82,0.47,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46836405,,Vnpnxr<3yrs phy/qhp scalp vn,A,,0.30,0.40,,0.06,,0.02,0.72,0.38,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46936406,,Vnpnxr<3yrs phy/qhp other vn,A,,0.18,0.36,,0.04,,0.01,0.55,0.23,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47036410,,Vnpnxr 3yr/> phy/qhp dx/ther,A,,0.18,0.37,,0.04,,0.02,0.57,0.24,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47136415,,Coll venous bld venipuncture,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47236416,,Collj capillary blood spec,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47336420,,Venipuncture cutdown < 1 yr,A,,0.98,0.16,NA,0.16,,0.24,1.38,1.38,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00