tci E/M Coding Alert - 2017 Issue 4

You Be the Coder: Reporting Anticoagulant Management Codes

Question: Can you explain the anticoagulant management codes to me? Are they billable and how do you bill them along with an E/M code? South Dakota Subscriber Answer: According to CPT®, “Anticoagulant services are intended to describe the outpatient management of warfarin therapy, including ordering, review, and interpretation of International Normalized Ratio (INR) testing, communication with patient, and dosage adjustments as appropriate.” An anticoagulant is a drug that prevents clot formation within the blood vessels and dissolves any previously formed blood clot. Your anticoagulant management code options are as follows: 99363, Anticoagulant management for an outpatient taking...

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