Raytel - anticoagulation service vs office service

[Guest guest]

The topic of INR testing and getting paid came up again.

One list member mentioned this service -- RaytelAttached is their report.Here is the website.http://www.inrselftesting.com/

Anyone getting paid yet for...

New CPT Codes for Anticoagulant Management

99363

Anticoagulation 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)

99364

Each subsequent 90 days of therapy (must include a minimum of 3 INR measurements)

For outpatient services only. Not to be used in conjunction with codes for physician review, interpretation and patient management of home INR testing for patients with mechanical heart valves(s). Any period less than 60 continuous outpatient days is not reported.

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I guess one submits these codes at the end of 90 days and then every 90 days after that?

Would be nice if it was submitted with each INR like a visit code.

I know some of you advocate just having the patient seen for a nurse visit and charge a copay for each draw.

Or doing the INR with a machine at the time of service -- definitely best medicine, but involves outlay of money initially - possibly getting it back later.

Locke, MD