Forum - Questions & Answers
Coumadin Management Codes
Does anyone have any tricks for getting the coumadin management codes (99364 and 99363) covered by Medicare. I have seen advertisements for coding class that claim they can be a covered code. Thanks
Coumadin
CMS will continue to recognize codes 99363 and 99364 as bundled services in. CMS believes the work represented by CPT codes 99363 and 99364 are inherent in the services captured by the existing Evaluation and Management (E/M) codes and will continue to pay for E/M services as appropriate.
Coumadin management codes
Have any of your commercial carriers reimbursed with those codes?
Coumadin management
There's an article in Codapedia on this topic. If you put "anticoagulant" into the search box, you'll find the article. Some groups bill a nurse visit if the service is performed by the nurse, and meets all the requirements for incident to for Medicare patients.