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Thread: elevated INR

  1. #1

    Default elevated INR

    If dr. writes elevated INR and pt is on coumidn would you code 79092...thanks alice

  2. #2

    Default

    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

  3. #3

    Default

    INR STANDS FOR 'INTERNATIONAL NORMALIZED RATIO' for Prothrombin Time

  4. #4

    Default

    I would code 790.92 and V58.61.

  5. #5

    Default

    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.

  6. #6

    Default

    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

  7. #7

    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

  8. #8
    Join Date
    Apr 2007
    Posts
    10

    Default Dx for elevated INR V58.61 long term anticoagulant

    Long term use of anticoagluant is V58.61
    Lise
    MGH

  9. #9
    Join Date
    Apr 2007
    Location
    Charlottesville VA
    Posts
    12

    Default

    I would use 790.92 and V58.61 also.
    Thanks!

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