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2012 Texas Medicaid Provider Procedures Manual

Durable Medical Equipment, Medical Supplies, and Nutritional Products Handbook : 2. Texas Medicaid (Title XIX) Home Health Services : 2.2 Services, Benefits, Limitations and Prior Authorization : 2.2.18 Prothrombin Time/International Normalized Ratio (PT/INR) Home Testing Monitor

2.2.18
PT/INR home testing monitors are a benefit of Title XIX Home Health Services for clients who require chronic oral anticoagulation due to one of the following:
The PT/INR home testing monitor is a portable, battery-operated instrument for the quantitative determination of PT/INR from whole blood obtained by finger-stick. This product is designed to aid in the management of high-risk clients who take oral anticoagulants.
Note:
For clients who are 20 years of age and younger and do not meet criteria for coverage through Title XIX Home Health Services, home PT/INR monitors and related testing supplies may be considered through CCP.
The following procedure codes are included in this benefit:
Procedure codes E1399 and A9900 may be reimbursed to home health DME and DME medical supplier providers for services rendered in the home setting.

Texas Medicaid & Healthcare Partnership
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