tci Medicare Compliance & Reimbursement - 2007 Issue 6

CARDIOLOGY: Medicare Dashes Coumadin Clinics' Hope For Reimbursement

Stick with 85610 and 99211 for Coumadin management.Providers were excited when CPT 2007 introduced two new codes to report outpatient management of warfarin sodium (an anticoagulant also known as Coumadin):· 99363 (Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; initial 90 days of therapy [must include a minimum of 8 INR  measurements]).· 99364 (...each subsequent 90 days of therapy [must include a minimum of 3 INR measurements]).    Bad news: But the Centers for...

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