• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki PT

Create Wiki Sort by votes
A

angbriscoe

New
Messages
4
Location
Powell, TN
Best answers
0
Looking for some advice on billing an E&M for PT/INR checks/monitoring. We have some providers who are billing either a 99212 or 99211 when monitoring these monthly with the documentation as shown below in each note rather than billing the 93793. By looking at the note it seems like they are managing the antibody studies abnormal (Cardiolipin disorder) but it is also in every visit stated this way monthly and billed with the E&M code. The PT/INR is not the same for every visit. Any advice or references that can be provided is greatly appreciated.

Assessment / Plan
1. Warfarin monitoring status -
PT/INR: 2.1 today. Goal: 2.0-3.0. Continue current dose: 1 tablet Tues and Sun, then 1/2 tablet all other days. Good rate and BP control today. Z51.81:

Encounter for therapeutic drug level monitoring
* PT/INR -

Specimen source: Blood capillary

2. Antibody studies abnormal -

Stable presentation today on current treatment. Tolerating medications well with no bleeding. No changes needed today. We will continue to monitor closely. R76.9: Abnormal immunological finding in serum, unspecified

PT/INR

 Results:

- PROTHROMBIN:

- INR: 2.1

Patient Instructions
RTC in one month for follow up.
 
You must log in or register to reply here.
Top