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Coumadin PT/INR

  1. #1
    Location
    Columbus, Ohio
    Posts
    27
    Default Coumadin PT/INR
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    When we have a patient come in for a PT/INR and the physician sees them discusses the dosage and makes changes to the medication how should that be billed?

    Thanks,

    Susan Whitt, RN PA

  2. #2
    Default
    I think it would depend what the medication is being prescribed for (i.e., afib, coumadin therapy, DVT,etc), and most likely, you would code the reason the patient is on the medication in the first place. Unless, of course, the doc documents something else specifically.

  3. #3
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    Quote Originally Posted by sawhitt View Post
    When we have a patient come in for a PT/INR and the physician sees them discusses the dosage and makes changes to the medication how should that be billed?

    Thanks,

    Susan Whitt, RN PA
    How about V58.83 and V58.61 along with the reason the pt is on the medication.

  4. Default
    There was a really good artical about this in the Coding Edge a good while back. It stated that the first dx is V58.83, then the reason they are on coumadin, (such as afib: 427.31), and then the V58.61.

  5. #5
    Location
    Detroit Chapter
    Posts
    76
    Default
    So would you use 85610 for the blood draw for the INR for coumadin dosaging?

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