Hello,
My organization's compliance department has not allowed us to use 93793 for anticoagulation services. They have stated that to bill this code a provider needs to interpret the results and recommend treatment. Has anyone else had this concern? It is challenging when different groups interpret the regulations differently.
Stephanie
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Stephanie Witwer PhD RN NEA-BC FAAN
Emeritus Staff
Mayo Clinic
Pine Island MN
(701)240-6208
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Original Message:
Sent: 06-11-2023 22:20
From: Addie Lowe
Subject: Charging for Anticoagulation Visits
If you have a documentation template that allows you to document the management of and education for the warafarin management then you should be able to bill the 93793. When we are doing an At Home test review, we create what we call an AdHoc Clinic encounter to bill for the date of service. These AdHoc encounters for us allow the information to cross to our billing system.
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Addie Lowe MSN RN
Covenant Medical Group
Kingstree SC
(843)372-2334
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Original Message:
Sent: 06-08-2023 08:44
From: Amanda Rohrbaugh
Subject: Charging for Anticoagulation Visits
Good Morning,
I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.
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Amanda Rohrbaugh BSN, RN
Clinical Manager
WellSpan Health
Marietta PA
(717)799-1804