Pt/inr

We have recently purchased a COAGCHEK machine. Can we bill cpt code 99363 when initializing a patient on Coumadin/Warfin?

No

that code is for monitoring patients that home test.

If the patient is in the office for the teaching the use the E&M codes and document time. For a test, bill the test and 99211 and document properly.

And BTW, there is a new warfarin-like med coming out that may make warfarin nearly obsolete- hope you got a good deal on the machine!

Anticoagulant management

Look at the article titled:

Anticoagulant management

and

Can I bill for coumadin management over the phone?

in Codapedia for more detail.

Put those words in the search box to find the articles.

99363

I didn't realize that 99363 was used only for patients who home test. Do you have more information about this? We have used it for patients who are not home testing and I want to be sure we are doing things correctly.

Thank you,
Donna

read this

http://www.protimesystem.com/documents/MWM235_0907.pdf

I don't know if you can bill both the 90 day review and the tests in your office but financially you are better off with the 99211 with each visit.

99363

These codes have a status indicator of bundled and will not be paid by Medicare or most insurers. I haven't re-read the CPT definition lately, but my memory does not say "home test" for these codes.