tci Part B Insider - 2007 Issue 3

CARDIOLOGY: Stick With 85610 And 99211 For Coumadin Management

Medicare dashes Coumadin clinics- hopes for reimbursementProviders were excited when CPT 2007 introduced two new codes to report outpatient management of warfarin sodium (an anticoagulant also known as Coumadin):- 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)).- 99364 (...each subsequent 90 days of therapy (must include a minimum of 3 INR measurements)).    Bad news: But the Centers for Medicare &...

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