tci Part B Insider - 2009 Issue 27

PART B CODING COACH: Use 99211 Requirements for Prothrombin Time Payment

E/M specifics give hints on what's needed for this low-level test. You'll need a blend of upcoming revised codes and old-school E/M knowledge to get your full prothrombin time (PT) test pay. Take a closer look at the sometimes grey area of PT tests to see if your practice is missing reimbursement opportunities. Choose 99211 With 85610 Code 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician ...) is your best bet when your physician performs a PT test (85610, Prothrombin time). Report this...

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