CMS has determined that ICD-9-CM codes for 786.50 Chest pain, unspecified and 786.51 Precordial pain "flow from the existing narrative for conditions for which a [PT test] is reasonable and necessary," according to an AAPC report.
CMS has decided to add these two diagnosis codes to the list of codes covered by Medicare for the national coverage determination for PT testing.
A PT test may be used to assess patients taking warfarin; assess patients with signs or symptoms of abnormal bleeding or thrombosis; evaluate patients with a history of a condition associated with bleeding or thrombosis; assess the risk of hemorrhage or thrombosis in patients who are preparing for a medical intervention known to be associated with increased risk of bleeding or thrombosis.
Read the AAPC report on PT testing.
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CMS has decided to add these two diagnosis codes to the list of codes covered by Medicare for the national coverage determination for PT testing.
A PT test may be used to assess patients taking warfarin; assess patients with signs or symptoms of abnormal bleeding or thrombosis; evaluate patients with a history of a condition associated with bleeding or thrombosis; assess the risk of hemorrhage or thrombosis in patients who are preparing for a medical intervention known to be associated with increased risk of bleeding or thrombosis.
Read the AAPC report on PT testing.
Related Articles on Coding, Billing and Collections:
Coding Resource: CMS Code-a-Thon Video
MGMA Survey Highlights Version 5010 Challenges for Medical Groups
Coding Resource: AAPC Anatomy and Pathophysiology Training Modules for ICD-10