Results 1 to 3 of 3

99364 Anticoagulant Management

  1. #1
    East Valley Kachina Coders
    Unhappy 99364 Anticoagulant Management
    Exam Training Packages
    How do I get paid for the 99364 Anticoagulant Management? Is there a modifier that needs to be used?

  2. #2
    Jacksonville Florida Chapter
    I really don't see anything in the guidelines that says you have to use a modifer with that code. Has your provider documented at least 90 continous outpatient days of thearpy? That's the only reason I can think of at this time that you're getting the denial.
    John Meyer, CPC
    Heekin Clinic

  3. #3
    Columbia, MO
    Medicare and many other payers stated early on that 99363 or 99364 would not be paid on the same day as an office visit even with a 25 modifier. So it needs to be a stand alone service, needs to be performed by the physician/NP/PA, and must be 90 days from the previous 99363 or 99364 and you must have a minimum of 3 PT/INR results, If you have all of this and are still not being paid what is the denial reading? Also the dx code we have been using is V58.83 and V58.61 and we have had not problems being reimbursed. Timing can be a problem though because 90 days is 90 days and cannot be anything short of.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Anticoagulant Management - cardiology offices
    By in forum Cardiology
    Replies: 0
    Last Post: 05-11-2011, 09:00 AM
  2. How to bill Anticoagulant Management
    By ajenkins in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-01-2010, 10:53 AM
  3. Anticoagulant Management
    By OliviaPrice in forum Cardiology
    Replies: 6
    Last Post: 07-28-2009, 11:31 AM
  4. Anticoagulant Management
    By ARCPC9491 in forum E/M
    Replies: 1
    Last Post: 08-25-2008, 01:08 PM
  5. Billing For Anticoagulant Management
    By KHH in forum Family Practice
    Replies: 5
    Last Post: 12-11-2007, 01:52 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.