When are PT/INRs considered skilled care?

There is a lot of confusion over skilled care when it comes to venipuncture ….

Venipuncture is considered a skill, just not a qualifying skill. Most likely you are performing observation and assessment of the condition that requires an anticoagulant. If performing the PT/INR by one of the machines, it is still a skill.

To code correctly, code the condition, then V58.83 (Encounter for therapeutic monitoring of medications), and V58.61 (Long term use of anticoagulants).

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