36591
Collection of Blood Specimen from an Implanted Venous Access Device
Code Description
CPT code 36591 is used to report collection of a blood specimen from a completely implantable venous access device, such as an implanted port. The code represents obtaining the blood sample through the implanted device rather than by routine venipuncture.
When to Use 36591
Common examples include:
Blood draw from an implanted port
Laboratory specimen collection through a venous access device
Oncology port blood collection
Implanted vascular access device specimen collection
Blood collection before infusion therapy
Documentation Requirements
Documentation should include:
Reason for blood collection
Type of implanted venous access device
Laboratory test ordered
Successful specimen collection
Medical necessity
Date of service
Common Billing Mistakes
Common billing mistakes include:
Reporting 36591 with non-laboratory services
Billing routine venipuncture instead of the implanted device collection code
Insufficient documentation
Reporting 36591 with 36592 for the same collection
Ignoring payer bundling rules
Related CPT Codes
36416
Collection of Capillary Blood Specimen
36592
Blood Collection from Established Catheter
96523
Irrigation of Implanted Venous Access Device
FAQ
What does CPT code 36591 cover?
CPT code 36591 reports collection of a blood specimen from a completely implantable venous access device.
Is CPT 36591 used for routine venipuncture?
No. It is specifically used for blood collection through an implanted venous access device.
Can CPT 36591 be reported with other non-laboratory services?
Under Medicare policy, CPT 36591 generally should not be reported with services other than laboratory services.
What type of device is used with CPT 36591?
The code is used for implanted venous access devices such as implanted ports.
Procedure Type
Specimen Collection
Device
Service
Implanted Venous Access Device
Blood Collection
