Effective May 6, 2019, Highmark will not reimburse venipuncture (blood draws) when billed with another blood or serum lab service on the same date of service, by the same provider, for the same patient. The venipuncture is considered incidental to the lab test and is not eligible for separate reimbursement.
We recommend that you review Highmark's Reimbursement Policy RP-047, Venipuncture and Lab Services, available on the Provider Resource Center.
Reimbursement policies are located on the Provider Resource Center as an option under CLAIMS, PAYMENT & REIMBURSEMENT. Select Reimbursement Policy to review Highmark's reimbursement policies. As new reimbursement policies are developed, they will be added to the Reimbursement Policy page. Check back regularly for the latest updates.
Special eBulletin dated March 1, 2019 has more information about this change.