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Thread: Anticoagulant managment

  1. #1
    Join Date
    Apr 2007

    Default Anticoagulant managment

    AAPC: Back to School
    for 6 weeks post total joint replacement, we keep patients on Coumadin. Can we bill CPT 99363 for INR management? apparently, Family Physician's are unable to bill for these because it is bundled with their attached E/M. Does this mean Medicare does not allow it at all, or just with an E/M?

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Per CPT guidelines for this code, it must be 90 days with a minimum of 8 INR measurements. Therefore, 6 weeks would not meet the criteria for this code.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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