Reimbursement policy update: Outpatient facility blood draw and venipuncture claims effective February 12, 2022
For Health Care Professionals
November 2021

Dear Provider,

We routinely review our coverage, reimbursement, and administrative policies for potential updates. In that review, we take into consideration one or more of the following: evidence-based medicine, professional society recommendations, Centers for Medicare & Medicaid Services guidance, industry standards, and our other existing policies.

As a result of a recent review, we will update the way we process outpatient facility blood draw and venipuncture claims. Effective for claims processed on or after February 12, 2022, we will expand our existing policy to include all provider contract types, and continue to administratively deny claims submitted with Current Procedural Terminology (CPT®) codes 36400, 36405, 36406, 36410, 36415, 36416, 36591, and 36592.

Reimbursement for these routine services is included in the facility payment. Denials will include administrative appeal rights.

Additional information

For more information about our reimbursement policies, log in to the Cigna for Health Care Professionals website ( > Resources > Reimbursement and Payment Policies > Reimbursement and Modifier Policies > Reimbursement Policies).

To register, go to > Register. If you would like additional information, please call Cigna Customer Service at 800.88Cigna (882.4462).

Thank you for the care you provide to our customers.


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