How to Properly Report Monitoring Patients Taking Blood-thinning Medications

June 18th, 2019 - Wyn Staheli, Director of Research
Categories:   CPT® Coding   HCPCS Coding   Diagnosis Coding   Modifiers   Cardiology|Vascular   Home Health|Hospice   Internal Medicine   Neurology|Neurosurgery   Obstetrics|Gynecology   Orthopedics   Pediatrics   Primary Care|Family Care   Skilled Nursing   Billing  
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There are two new codes, as of January 2019, to describe services related to International Normalized Ratio (INR) monitoring:

It is essential to note the official CPT Guidelines regarding the use of these codes. For either code, DO NOT:

Some additional things to note about code 93793 are:

The March 2018 CPT Assistant clarifies that there may be situations where you could report code 93792 in conjunction with E/M services, but ONLY if there is a significant, separately identifiable E/M service which would then qualify that E/M service to be reported using modifier 25. However, it is not appropriate to report an E/M service with 93793 — even with a modifier — on the same day because management services because it is considered to be included (bundled) with the E/M service.

Carefully review individual payer policies as some may have additional restrictions such as any or all of the following:

Tips:

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