My question is regarding Anticoagulation Management Code 93793. Guidelines state that this code can be performed by a physician, NP, or PA. My question is, if clinical staff performs the service in the doctor’s office setting, can code 93793 be billed under the supervising physician’s name?
- Sees the patient face to face
- Queries the patient regarding any unexplained bleeding, bruising, changes in diet, any other interacting medication usage, etc.,
- Obtains the PT INR
- Reviews the results
- Changes dose or keeps the same dose according to an AMS flowsheet
- Arranges future appointments
- CLINICAL STAFF routs the note to the physician
Can this code be billed under the physician’s name when performed by clinical staff in the doctor’s office setting? If so, would there have to be an attestation and/or co-signature by the physician?
This code does not require a face-to-face service, but there is nothing in the description that precludes it being performed face-to-face. It may not be done on the day of an E/M service, and check the CPT book for other “do not report” with codes, which include chronic care management and TCM.
The CPT Changes Insiders’s View 2018, in the description of the procedure specifically does not say if it must be done by the provider or by the clinical staff.
In my opinion, you can bill this under the physician’s provider number for work done by the clinical staff. I think sign off would be a could work process, but I don’t have a citation for this.
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