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   RE: office INRs
 From: Kathy Saradarian
 To: Member Forum
 Posted: 10-29-2017 10:38
 Message: Jean,
I have never done in office INRs.  But hearing from others that had enough warfarin patients to make it worthwhile, the INR is break-even at best.  They make the profit on the office visit.  Every INR gets a physician interaction.

It does now, even when it's done at the lab but has not been billable unless you are doing chronic care management.  So you talk to the patient, adjust the dose or not and charge a 99212.  I don't think you even need to do vitals.  Mention a brief history.  Review meds.

But there are 2 codes for non face-to-face time that CMS has made billable in 2017 which I did not know.  99358 and 99359.  I have to work these into my work flow.

Medicare Learning Network - 99358/99359

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Kathleen Saradarian, MD
Branchville, NJ
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Original Message:
Sent: 10-27-2017 12:46
From: Jean Antonucci
Subject: office INRs

Hi I have never had enough  INRs  to make the machine etc worthwhile  but i was just given a machine and many    non expired test strips  I will look up the coding details but  wonder how many  any of you getpaid Do you  also do a visit because you a re telling them the results/ Normally  the results- telling either is unpaid or maybe gets added in to a 40.00   99490 if there is enough work for that  Thanks

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Jean Antonucci
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