Forum - Questions & Answers
PT INR Home Testing
Does anyone know if providers can bill for the medication management for patients that are using a home testing PT INR self test machine? Our patients still call us with the results and we manage the dosing, not seeing anything that we can bill for that.
re: PT INR Home Testing
See pg 35 of 2016 CPT® book for anticoagulant management advise. There are strict rules re how often and what it can't be billed with & what modifiers might be needed. Phillips Remote Cardiac Services provides the INRatio monitor & home testing equipment (like lancets and test strips) to patients, and they told me in 2011 when I was home-monitoring my INR that my Dr can bill for anticoagulant mgt every 4 tests and get reimbursed $10.00 but that was 5 yrs ago, and my Dr didn't think it paid enough to even bill it back then. You can probably call Phillips and ask what CPT® or HCPCS codes to use and for billing/coding requirement advice that may be newer than 2011. Phillips' phone number is 800-295-3530. There are fewer patients still taking Coumadin or Jantoven (warfarin) now since recent technology has given us newer anticoagulants that don't require INR testing, such as Savaysa, Elliquis, & Pradaxa, just to name a few of the new medicines.