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  #1  
Old 12-04-2010, 10:06 AM
alices alices is offline
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Default elevated INR

If dr. writes elevated INR and pt is on coumidn would you code 79092...thanks alice
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Old 12-04-2010, 05:18 PM
preserene preserene is offline
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I do not know what this code is meant for (may be in 2010 CPT). But i feel that 79xxx series belong to the Radioactive isotopes category .
But I do know for sure that INR is a lab test done in patients on ANTICOAGULANTS,(atrial fibrillation, previous history of an "infarct" or DVT/pulmonary embolism), for detecting the extended Prothrombin Time in patients who are on Coumidin, Heparin derivative therapy- as an INDEX to decide about the therapeutic continuation/ or to reduce the dose/ or to temporarily discontinue the drug- meaning to know the adverse effect (not as a poison drug)- in otherwords, it is an AQUIRED COAGULATION DEFECT while on treatment with Anticoagulants.
So, "INR elevation" specifically states that extended coagulation time is the desired endpoint for coumadin.

It is a Lab test and the E/M code would suffice if it the only service provided.

For ICD 9 CM Code: Assign a code for abnormal blood lab value for those instances where the PT and INR are elevated and the patient is admitted for reversal of the extended PT and INR. A contributing factor to the patient's adverse reaction to coumadin is the extended half-life of the circulating coumadin in the blood stream due to decreased effectiveness of the liver to metabolize the drug.
Am I clear and make some sense or no?
Thank you, Alices
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Old 12-04-2010, 05:22 PM
preserene preserene is offline
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INR STANDS FOR 'INTERNATIONAL NORMALIZED RATIO' for Prothrombin Time
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Old 01-11-2011, 11:35 AM
ERcoder12 ERcoder12 is offline
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I would code 790.92 and V58.61.
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Old 01-11-2011, 03:13 PM
preserene preserene is offline
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Yes, that is perfect diagnosis codes for elevated INR I said elevated INR indicates abnormal Prothrombin Time indirectly. The patient is already on anticoagulants.(Vcode)
But Alice's question was about the CPT code. I am curious to know the correct CPT code too.
Thank you.
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Old 01-11-2011, 08:13 PM
eadun2000 eadun2000 is offline
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Quote:
Originally Posted by preserene View Post
Yes, that is perfect diagnosis codes for elevated INR I said elevated INR indicates abnormal Prothrombin Time indirectly. The patient is already on anticoagulants.(Vcode)
But Alice's question was about the CPT code. I am curious to know the correct CPT code too.
Thank you.
Actually Alice asked about the dx code 790.92... she just didn't put the decimal in... 79092. Hope this helps
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Old 01-15-2011, 08:16 AM
alices alices is offline
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Default inr

I am truly sorry for the confusion, I did mean the dx i should have put it in and didn't, but thank you everyone for the responses and again really sorry..alice
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Old 02-06-2013, 11:31 AM
Larmour Larmour is offline
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Default Dx for elevated INR V58.61 long term anticoagulant

Long term use of anticoagluant is V58.61
Lise
MGH
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  #9  
Old 02-26-2013, 02:15 PM
anmariebrigham anmariebrigham is offline
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I would use 790.92 and V58.61 also.
Thanks!
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Anmarie Brigham CCS, CPC-H, CPC
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