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Blood collection fees are the only collection fees covered for venipuncture. Collection of throat cultures, Pap smears, etc., are considered part of the office visit.
Benefits are only provided when laboratory services are sent to an independent laboratory. The independent clinical lab provider should file the laboratory fees to the Blue Plan in the state where the specimen is drawn or obtained, regardless of his/her contract status with that Plan.
It is not appropriate to bill for or up-code an office visit due solely to the collection of a specimen.
Last Updated May 2015