I continue to get questions about billing for anticoagulation management, and I’m hoping this blog post can put some (all?) of them to rest.
First, the deleted codes. CPT had two codes for this service, 99363 and 99364 that had a bundled status indicator from Medicare, meaning they weren’t paid by Medicare or most insurance companies. They were deleted from the CPT book in 2018.
Currently, there are two sets of codes, three HCPCS codes and two CPT codes. They aren’t defined exactly the same, and so take careful reading. The HCPCS codes relate only to home INR monitoring, while one of the CPT codes can be used when the test is done in the home, office or lab.
Home INR testing, and management of home INR test results
In 2018, we got two new codes. You can read about 93972 and 93973 in this article that I wrote at the end of 2017 and updated with the new RVU values in February of 2019.
93792 is for patient/caregiver education for initiation of home international normalized ratio (INR) testing. The patient obtains the equipment from a DME provider to test their own blood at home, and prior to doing the testing, a staff member has a face-to-face educational session with the patient, showing them how to collect the sample and test their blood, and documenting their ability to perform the tests and report the results. That service has 0 wRVUs because it is staff work.
The second code released in 2018, 93973, was for non-face-to-face review of INR results and management. It is for reviewing the results of an INR done at home, at the office or in a lab. The national payment amounts for each service are listed in the linked article.
Can a staff member do the management described by 93973??
I got asked that question, did some research and answered, “I think so.” You can read the entire Q&A about a nurse doing 93973 for yourself. I wish I could be more definitive.
Now, to the older, HCPCS codes that relate only to home INR services.
HCPCS codes, G0248, G0249, G0250
G0248 Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient’s ability to perform testing and report results
G0249: Provision of test materials and equipment for home INR monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; includes provision of materials for use in the home and reporting of test results to physician; not occurring more frequently than once a week
G0250: Physician review, interpretation, and patient management of home INR testing for a patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; includes face-to-face verification by the physician that the patient uses the device in the context of the management of the anticoagulation therapy following initiation of the home INR monitoring; not occurring more frequently than once a week
These three codes are longstanding codes with a status indicator in the Medicare fee schedule of R, restricted. This is defined as Contractor priced, although there are RVUs in the fee schedule. They were not deleted with the addition of the CPT codes.
G0248 is similar to the new CPT code 93972. Both require in person education, obtaining one sample, instructions for reporting and an assessment of how well the patient will be able to perform the test and report the results.
G0249 includes providing the machine and materials for INR testing. This is not a DME benefit but is a paid under the physician fee schedule. The practice provides the machine that the patient uses to test their blood.
G0250 requires “face-to-face verification by the physician that the patient uses the device in the context of the management of the anticoagulation therapy following initiation of the home INR monitoring.” The frequency of the face-to-face verification is not listed in the code.
G0250 and 93793 are similar but with a key difference:
The difference is where the lab test was done. Use of code G0250 is not more than once a week, and is only used for home testing of INR. 93793 is used for review and management of a new test done at home, in the office or in the lab. 93793 specifically requires providing patient instructions, dosage adjustment, if needed, and scheduling additional tests, when needed. 93793 is used in more situations. It allows billing non-face-to-face assessment and management of INR tests done at home, in the office or at a lab, but it also has more specific requirements for patient instructions and management.
If your practice has been reporting these HCPCS codes, compare the descriptions of the HCPCS codes and CPT codes carefully, and the payment from your Contractor. For non-Medicare patients, use the CPT codes. You can read more about the requirements for the HCPCS codes in Chapter 32 of the Medicare Claims Processing Manual.
Nurse visits and INR
The services above are for teaching the patient how to do a home INR (G0248, 93792), providing the INR machine and materials (G0249) and monitoring and dosage adjustment, based on the patient’s results. (G0250–home, 93793—home, office, lab)
But, not all patients want to or can test their own blood at home. Some patients have the test done at their medical practice, and these do not always fall on the day of an office visit. If the patient has the service done on the same day as an office visit, bill the office visit done by the physician/NP/PA and bill the PTINR, 86510. For CLIA waived tests, add modifier QW. The CPT code for a fingerstick, 36416, has a status indicator of bundled, and Medicare won’t pay it, and neither will most payers. Do not bill either a nurse visit or code 93793 when done on the day of an office visit.
If a patient presents to have her PTINR checked, the lab test is performed and the nurse provides the management advice about the dosage of warfarin, that may be billed as a nurse visit, in addition to the lab test. The nurse must be providing the treatment advice face-to-face with the patient, either in consultation with the physician/NP/PA or based on a scale developed by the practitioner. Remember if it is a Medicare patient, you must meet incident to guidelines.
Nurse visit or 93793?
That depends on whether the work is done in person or not. And, neither 93793 or a nurse visit may be performed on the day of another E/M service.