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You're viewing the Q4 2025 rate, effective October 2025 . See the current rate

Routine Venipuncture (Blood Draw)

CPT 36415

When it’s used
Reported whenever blood is drawn by needle stick for laboratory testing, regardless of which tests are ordered on the sample.

No national payment amount

Status X is not separately payable under the PFS.

Statutory exclusion. The service is not in the statutory definition of physician services.

Common questions

Why is there no payment amount for 36415?

Its status indicator is X (statutory exclusion). Statutory exclusion. The service is not in the statutory definition of physician services. The blank is deliberate: the amount is unknown or paid another way, not zero.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October). Each release is versioned here, so past quarters stay lookupable — see what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill?

What is a 36415 visit in patient-friendly terms?

In plain terms: The collection of a venous blood sample by puncturing a vein, the standard method for obtaining blood for laboratory testing. It covers the draw itself, separate from the cost of the lab tests performed on the sample. You'll typically see CPT 36415 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.

How this amount is computed

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000.

Release Q4 2025

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A value of blank means CMS publishes no national number for that part — which is not the same as zero.

Rate history by release

National non-facility amount for 36415 across quarterly releases.

$1 $1 $0 $-1 $-1 Q1 2025 · $0.00 Q2 2025 · $0.00 Q3 2025 · $0.00 Q4 2025 · $0.00 Q1 2026 · $0.00 Q2 2026 · $0.00 Q3 2026 · $0.00 Q1 2025 Q2 2025 Q3 2025 Q1 2026 Q2 2026 Q3 2026
Non-facility Facility
Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 X $0.00 $0.00
Q2 2026 Mar 10, 2026 X $0.00 $0.00
Q1 2026 Dec 29, 2025 X $0.00 $0.00

Source & method

Computed from the CMS Medicare Physician Fee Schedule Q4 2025 release (schedule pfs, effective October 2025). National amounts apply a GPCI of 1.000 and exclude sequestration. Payability follows the status indicator, not RVU values — blank RVUs are never treated as zero. Releases are immutable; a rate retrieved for a past quarter always reflects that release.

Description written from primary sources: CMS Medicare Physician Fee Schedule Relative Value Files. Not derived from AMA CPT descriptor text.

Physician relative value file (Q4 2025) · 2025.zip (PPRRVU2025_Oct.csv row 4,345)

Conversion factor $32.3465 read from the same file, row 11, column 25.

Use the (i) buttons next to each amount above for the exact row, columns, and math.