Anticoagulation mgmt help

Can anyone help me? If a doctor is managing a patients anticoagulant meds, via phone or online. Can they charge for that? How would that be billed? I see the 99363/99364 but I don't know if that is only for "in office" or could it be used for online/or phone? Also we got info from a seminar a while back that says you cannot bill for these codes. I'm confused. Thanks

re: Anticoagulation mgmt help

[Can anyone help me? If a doctor is managing a patients anticoagulant meds, via phone or online. Can they charge for that? How would that be billed? I see the 99363/99364 but I don't know if that is only for "in office" or could it be used for online/or phone? Also we got info from a seminar a while back that says you cannot bill for these codes. I'm confused. Thanks]

No that is not correct.

Warfarin therapy supervision accomplished online or via telephone contact (99444, 98969)

See below:

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)

Notes

Section Notes - 99363-99364 Supervision of Warfarin Therapy - (99363-99364)
Supervision of Warfarin Therapy

INCLUDES: Services provided on an outpatient basis only

Supervision of therapy with warfarin: ordering, dosage adjustments, analysis of International Normalized Ration (INR) tests, patient discussion

EXCLUDES: Initial services provided/continued in the hospital or in observation: new period of subsequent therapy starts with discharge (99364)

Services provided for less than 60 uninterrupted days

Services that fail to meet the required criteria (e.g., at least 8 INR tests/initial 90 days; 3 INR tests/each following 90 days

Warfarin therapy supervision accomplished online or via telephone contact (99444, 98969)

Do not report during the same time frame as (99495-99496)

Do not report in the same month with (99487-99489)

Do not report with (99217-99239 [99224, 99225, 99226], 99291-99292, 99304-99318, 99471-99480)

99364
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; each subsequent 90 days of therapy (must include a minimum of 3 INR measurements)

Notes

Section Notes - 99363-99364 Supervision of Warfarin Therapy - (99363-99364)
Supervision of Warfarin Therapy

INCLUDES: Services provided on an outpatient basis only

Supervision of therapy with warfarin: ordering, dosage adjustments, analysis of International Normalized Ration (INR) tests, patient discussion

EXCLUDES: Initial services provided/continued in the hospital or in observation: new period of subsequent therapy starts with discharge (99364)

Services provided for less than 60 uninterrupted days

Services that fail to meet the required criteria (e.g., at least 8 INR tests/initial 90 days; 3 INR tests/each following 90 days

Warfarin therapy supervision accomplished online or via telephone contact (99444, 98969)

Do not report during the same time frame as (99495-99496)

Do not report in the same month with (99487-99489)

Do not report with (99217-99239 [99224, 99225, 99226], 99291-99292, 99304-99318, 99471-99480)