Okay, I know back in 1997 Medicare said venipuncture is no longer covered as the sole purpose for home care visits. We can continue to draw blood at our visits as long as they have visits for other "skilled reasons". So what do you do with the homebound medicare beneficiary who has been placed on Coumadin and physician wants PT/INR drawn every two weeks. Her Coumadin dosage is dependent upon the lab results. She will be on Coumadin for life. How is it any different than a patient that needs Foley cath management or monthly B-12 injections?
And what is the purpose of the following V-Codes:
V58.61 Long-term (current) Use of anticoagulants
V58.83 Encounter for therapeutic drug monitoring
Are they not for Home Health usage???? Are they just FYI codes to put on the 485???
Do you have patients on service like this??? If so, I'm up for any education on the matter.