Question: How should we bill for INR testing at our Coumadin Clinic, including how to report services when the pathologist or other healthcare provider manages patient dosing based on lab or home monitoring results? Indiana Subscriber Answer: International Normalized Ratio (INR) is [...]
Don’t miss management pay. With the need to oversee coagulation in approximately 20 million people taking warfarin (trade name Coumadin) in the U.S. each year, your lab may encounter lots of claims for prothrombin time (PT)/international normalized ratio (INR) lab [...]
Always ask specific payers for their individual INR rules. A subscriber recently wrote in with a tricky international normalized ratio (INR) situation he encountered in his cardiology practice. If you’ve wondered how to correctly bill INR codes such as 93793, [...]
Question: Can you please explain the time limit for G0250? We have experienced some recent denials with this code and aren't sure why. Hawaii Subscriber Answer: Not meeting the time limit for G0250 (Physician review, interpretation, and patient management of [...]
Change involves code additions and deletions. If your lab/pathologist is involved in anticoagulation management, you have two new and two deleted codes in CPT® 2018 that you'll need to know. In addition to the CPT® code changes, you need to [...]
Avoid G0250 frequency pitfall. In addition to ordering a Prothrombin Time (PT) lab test, physicians might ask certain patients to perform home PT monitoring to manage warfarin (trade name Coumadin) dosage. When patients perform the test at home to determine [...]
Remember: Physicians should only bill G0250 once every four weeks. The MAC Novitas recently clarified how to correctly report home prothrombin time/international normalized ratio(PT/INR) monitoring code G0250. A major mistake physicians make with this code is billing it too soon, [...]
Question: Can you explain the anticoagulant codes 99363 and 99364 to me? My cardiologist wants to know if he can bill the codes along with an E/M code. Florida Subscriber Answer: According to CPT® 2017, "Anticoagulant services are intended to describe the [...]
Reporting 99363, 99364, or G0250 with these inpatient E/Ms will trigger a denial. The Correct Coding Initiative (CCI) version 22.1 introduced many edits that could impact oncology and hematology practices. A whole large array of edits applies to observation, infusion [...]
Reporting 99363, 99364, or G0250 with these inpatient E/Ms will trigger a denial. Medicare doesn’t pay separately for anticoagulant management codes 99363 and 99364, but that doesn’t mean these codes can escape Correct Coding Initiative (CCI) attention, as CCI version [...]
