How to Properly Report Monitoring Patients Taking Blood-thinning Medications

by  Wyn Staheli, Director of Research
June 18th, 2019

There are two new codes, as of January 2019, to describe services related to International Normalized Ratio (INR) monitoring:

It is essential to note the official CPT Guidelines regarding the use of these codes. For either code, DO NOT:

Some additional things to note about code 93793 are:

The March 2018 CPT Assistant clarifies that there may be situations where you could report code 93792 in conjunction with E/M services, but ONLY if there is a significant, separately identifiable E/M service which would then qualify that E/M service to be reported using modifier 25. However, it is not appropriate to report an E/M service with 93793 — even with a modifier — on the same day because management services because it is considered to be included (bundled) with the E/M service.

Carefully review individual payer policies as some may have additional restrictions such as any or all of the following:

Tips:

How to Properly Report Monitoring Patients Taking Blood-thinning Medications. (2019, June 18). Find-A-Code Spotlight. Retrieved from https://www.findacode.com/articles/how-to-properly-report-monitoring-patients-taking-blood-thinning-medications-34988.html

© 2019 innoviHealth Systems (Find-A-Code)

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