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Thread: INR Billing

  1. #1

    Default INR Billing

    AAPC: Back to School
    What are the proper codes to use for INR done in the office setting??

  2. #2
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire

    Default INR billing

    We use 85610QW and 36416 w/dx V58.61.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Join Date
    Apr 2007

    Cool inr

    I bill 85610 QW with 99211
    Cathy Bay City Chapter

  4. #4

    Default thank you

    Does anyone know what codes 99363 and 99364 are used for???

  5. #5


    Most carriers (MCR also) consider these codes to be bundled (to previous E&M) and do not pay separately.

    99211 can be used but appropriate documentation must accompany (e.g. counseling and/or exam etc). There have been a lot of CERT audits on 99211 so I recommend ensuring the proper documentation is in place.

  6. #6


    Quote Originally Posted by jenbet25 View Post
    Does anyone know what codes 99363 and 99364 are used for???
    We use these codes when a patient has their PT drawn at an outside lab (not by us) and our Dr is managing the coumadin. We have a form created that our nurse completes, there are # of test requirements in particular # of days that must be completed.

  7. #7
    Join Date
    Apr 2007
    Loma Linda

    Default Inr

    we bill 99363 only after the 8th INR in a 90day period but not for Medicare then 99364 is used subsequent to that for every 3INR's done. these must be consequetive without Inpatient status if that happens you go back to square one again. We use the 99212, 85610 and 36416 because we have a COAG clinic in our group.

    tracking this is a challenge though

  8. #8
    Join Date
    Apr 2007
    Duluth, Minnesota


    we bill 99211 & 85610QW also
    Donna, CPC, CPC-H

  9. #9


    So do you have a doctor in the clinic-is that why you bill 99212, rather than 99211?
    We are an oncology/ hematology clinic. Within the next 5 years or so we will be building a comprehensive cancer center and the idea of a coag clinic within our facility is being considered. We are under the big umbrella of a hospital. Any comments on the finanacial benefit of doing it ourselves or letting the hospital set it up?

  10. #10

    Question inr dx?

    Quote Originally Posted by jenbet25 View Post
    What are the proper codes to use for INR done in the office setting??
    dx we use in my office is usually v58.69-(is it the right one to use?)
    antoinette, danbury,ct

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