`S9529` Venipuncture home/snf

Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for S9529

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S9529

1 of 1 payer prior-auth lists that name S9529 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Blue Cross and Blue Shield of Texas	Texas PA exemption (gold card), outpatient, fully insured	TX	prior auth required	Gold-card exemption available	Jan 1, 2026	BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)

Payer coverage policies that name S9529

S9529 appears in 2 coverage policies from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Home Health Aides (0218)	listed, no stance (range S9490-S9810)	Sep 10, 2026	payer document
Aetna	Skilled Home Private Duty Nursing Care (0136)	listed, no stance (range S9490-S9810)	Apr 7, 2026	payer document

Recent prior-auth changes

Apr 1, 2026: PA added, Blue Cross and Blue Shield of Texas

Medicaid fee-for-service

Prior authorization required or conditional in IN.

ND: $0.00 (physician), effective Aug 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

S9529 Venipuncture home/snf