Transcription of Reimbursement Quick Reference Guide for Prothrombin Time ...
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Reimbursement Quick Reference Guide for Prothrombin Time ...
PN 100299 Rev AA CoaguSense, Inc. Effective Date: 4/9/2010 Page: 1 of 2 DCO: 733 Reimbursement Quick Reference Guide for Prothrombin Time/INR Testing Laboratory Services such as PT/INR testing performed in a physician s office are covered under Medicare Part B, if deemed reasonable and necessary for diagnosis or treatment of an illness. Medicare does require that the test be ordered by a licensed medical practitioner and be identified on the claim using a diagnosis or ICD-9-CM Code. CPT Codes are also required to identify medical tests and procedures. CPT Code Description 2009 Payment 85610 Or 85610 (QW) Prothrombin Time: Aid in screening for congenital deficiencies of Factor II, V, VII and, X; screen for deficiency of Prothrombin ; evaluate effects of heparin, Coumadin or warfarin; screen for Vitamin K deficiency.
PN 100299 Rev AA CoaguSense, Inc. Effective Date: 4/9/2010 Page: 2 of 2 DCO: 733 E/M Code E&M of ESTABLISHED Patients Time spent face to face with patient and/or family Medicare Payment Rate* 99211 May not require presence of a physician; Minimal presenting problems 5 …
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