Results 1 to 3 of 3

Coumadin Clinic - low level E&M

  1. Default Coumadin Clinic - low level E&M
    Medical Coding Books
    I am billing a 99211 with 85610 in our coumadin clinic. We have a payor that is stating we are coding incorrectly by charging a low level E&M and we should be using another code. Can someone help by either telling me where I can find documentation that states we are using correct coding or direct me to the other code.

  2. #2
    Default Coumadin Clinic
    We use codes 36416 and 85610 (with QW modifier if Medicare), when provider does not see pt. If provider sees pt w/use 99211-99215 w/25 modifier, 36416, and 85610.

    Use only the E&M code if the cap stick and ProTime were done elsewhere.


  3. #3
    Default coumadin clinic
    i use v5883,v58.61, and then the reason the pt is on coumadin and also most of our pts dont see dr when they come in for this. CODING EDGE FROM FEB 2007 TALKS ABOUT COUMADIN MANAGEMENT AND WHAT CODE TO BILL OUT.

Similar Threads

  1. coumadin clinic
    By efuhrmann in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-28-2011, 02:46 PM
  2. Coumadin Clinic
    By bryach in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-17-2010, 09:00 AM
  3. Coumadin Clinic
    By M.Mohler in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 03-27-2010, 07:16 AM
  4. Coumadin Clinic
    By baash1124 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-14-2009, 08:55 AM
  5. coumadin clinic
    By jenna in forum Cardiology
    Replies: 6
    Last Post: 11-17-2008, 03:29 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.