Wiki Billing for adjustments for medication over the phone

[cmf2819]

Can anyone tell me if an internal medicine doctor can bill for making adjustments to Coumadin over the phone?

 

[mitchellde]

No there is no code to bill for this it should be included in the MDM for the office encounter when the provider sees the patient for a coumadin encounter (99363/99364)

 

[creinhardt]

Try looking to see if your service/documentation meets the guidelines for CPT 98966-Telephone assessment and managment service. I'm not sure maney ins. companies will consider this a covered benefit though....

 

[donna_vig]

There is good information in the sectional guidelines in the CPT book. Look up "non-face to face services" and read the sectional. If I remember correctly, these services are included in the office visit within a certain period of time. It'll tell you.

 

[mitchellde]

There is good information in the sectional guidelines in the CPT book. Look up "non-face to face services" and read the sectional. If I remember correctly, these services are included in the office visit within a certain period of time. It'll tell you.

Correct and the call must be initiated by the patient, which this is not.