Question

Question 2: The "Non-Face-to-Face Services" subsection of the "Evaluation and Management" section contains a note below code 99443 that states, "(Do not report 99441-99443 for home and outpatient INR [International Normalized Ratio] monitoring when reporting 93792, 93793)." Which of the following codes should be reported when a patient receives a 10-minute telephone call (non-face- to-face service) from the physician (99441) and INR monitoring (93792) during the same encounter? O A. 99441 O B. 99441, 93792 C. 99441, 99442 O D. 99441, 93793 Previous Next

Answer 1

ANS: B ( 99441, 93792)

RATIONALE: These codes are used to describe face-to-face and non-face-to-face services. 93792 code is used to train patient or caregivers to learn about home based INR monitoring under the supervision of a physician or under a professional healthcare employer. It is a face-to-face INR monitoring and also gives instructions about a) how to collect blood sample b) reporting INR results and c) documentation on their ability to perform the testing and report results. Moreover, Evaluation and Management service can have the rights to report the results on the same day encounter as code 93792.

On the otherhand, 93793 code is used to manage the patients using WARFARIN. Its action give the test result, patient instructions, adjustment on dosages, and scheduling of additional test when performed. However, it cannot be reported on the same day as an Evaluation and Management services rule.

The code 99442 is used to report INR test results through telephonic (non-face-to-face) services under the Evaluation and Management services by a physician or other qualified healthcare professionals to a patient or guardian. But, it is consider not to be originate from a Evaluation and Management services. It can be noted only within the previous 7 days or within the next 24 hours of soonest available appointment.

The code 99441 is also a non-face-to-face telephonic services used to work with patients care outside of an Evaluation and Management services. It is as same as code 99442.