AMA CPT® Assistant - 2017 Issue 3 (March)

Evaluation and Management: Case Management Services (Q&A) (March 2017)

March 2017 page 10 Evaluation and Management: Case Management Services Question: Is it appropriate to report Current Procedural Terminology (CPT®) code 99363 for anticoagulant management, initial 90 days of therapy if the patient is admitted after those 90 days of therapy? Answer: It is appropriate to report code 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) in this scenario for the initial 90 days...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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