Reminder - Home Prothrombin Time Monitoring for Anticoagulation Management -Not Covered by the DMERC

Original Effective Date: 12/06/2001
Revision Effective Date: 11/01/2013

Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management has been added to the Diagnostic Services section of the Coverage Issues Manual (https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/index) as Section 50-56. Use of the International Normalized Ratio (INR) allows physicians to determine the level of anticoagulation in a patient independent of the laboratory reagents used.

This test is not covered as durable medical equipment; therefore, claims submitted to the DMERCs will be denied for incorrect jurisdiction. Contact your local Part B carrier for information about the coverage of this diagnostic service.

 

Last Updated Dec 19 , 2019