CMS to Add Covered Diagnosis Codes for PT Testing

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.

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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.

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