tci Part B Insider - 2004 Issue 26

EVALUATION & MANAGEMENT: You Can Still Bill 99211 With Coumadin Tests

But make sure to justify medical necessity Many physicians'offices have set up "anticoagulation clinics" to manage patients on Warfarin Sodium (Coumadin) in recent years, say experts. In these clinics, patients come in for tests such as prothrom-bin time (PT) or international normalized ratio (INR). It's common for the patients undergoing these tests to see a nurse face-to-face for additional evaluation or checks of vital signs. Some clinics can see ten patients in one session and schedule two sessions per week. But increasingly physician offices are facing controversy over whether to bill a level one evaluation and management visit (CPT...

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