How To Use CPT Code 93792

CPT 93792 describes the training and instruction provided by a physician or other qualified healthcare professional to a patient or caregiver on how to use an INR monitor, obtain a blood sample, and report the results. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93792?

CPT 93792 can be used to describe the face-to-face training and instruction provided by a physician or other qualified healthcare professional to a patient or caregiver on how to use an INR monitor, obtain a blood sample, and report the results. This code is used when the healthcare professional provides comprehensive education and guidance on the proper use and care of the INR monitor, as well as instructions for reporting home INR test results.

2. Official Description

The official description of CPT code 93792 is: ‘Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, including use and care of the INR monitor, obtaining blood sample, instructions for reporting home INR test results, and documentation of patient’s/caregiver’s ability to perform testing and report results.’

3. Procedure

1. A physician or other qualified healthcare professional provides face-to-face instruction and training to a patient or caregiver on how to care for and use an INR monitor.
2. The healthcare professional demonstrates how to obtain a blood sample using the INR monitor.
3. Instructions are provided on how to report the results of the INR test.
4. The healthcare professional documents the patient’s or caregiver’s ability to perform the testing and report the results.

4. Qualifying circumstances

Patients who are eligible to receive CPT 93792 services are those who require training and instruction on how to use an INR monitor for home international normalized ratio (INR) monitoring. This may include patients who are on warfarin anticoagulation therapy to decrease the risk of blood clots. The training and instruction must be provided by a physician or other qualified healthcare professional, and it must be face-to-face with the patient or caregiver.

5. When to use CPT code 93792

CPT code 93792 should be used when a physician or other qualified healthcare professional provides face-to-face training and instruction on the use of an INR monitor, obtaining a blood sample, and reporting the results. This code is appropriate for patients who are initiating home INR monitoring and need comprehensive education and guidance on the process.

6. Documentation requirements

To support a claim for CPT 93792, the healthcare professional must document the following information:

• Patient’s need for home INR monitoring and the reason for initiating the training
• Specific instructions provided on the use and care of the INR monitor
• Date and duration of the face-to-face training session
• Documentation of the patient’s or caregiver’s ability to perform the testing and report the results
• Signature of the physician or qualified healthcare professional providing the training

7. Billing guidelines

When billing for CPT 93792, ensure that the training and instruction are provided by a physician or other qualified healthcare professional. The session must be face-to-face with the patient or caregiver. It is important to note that CPT code 93792 should not be reported if CPT codes 98966 to 98968 have already been performed in the previous seven days. Additionally, consider using modifier 26 for professional component billing and modifier TC for technical component billing, if applicable.

8. Historical information

CPT 93792 was added to the Current Procedural Terminology system on January 1, 2018. There have been no updates to the code since its addition.

9. Examples

1. A physician providing face-to-face training and instruction to a patient on how to use an INR monitor and report the results for home INR monitoring.
2. A nurse educating a caregiver on how to obtain a blood sample using an INR monitor and properly care for the device.
3. A pharmacist providing comprehensive training to a patient on the use of an INR monitor and the reporting of INR test results.
4. A physician assistant instructing a patient on how to use an INR monitor and interpret the results for home INR monitoring.
5. A qualified healthcare professional training a patient on how to use an INR monitor and report the results accurately and timely.
6. A nurse practitioner providing face-to-face instruction to a caregiver on how to obtain a blood sample using an INR monitor and document the results.
7. A physician guiding a patient on the proper use and care of an INR monitor for home INR monitoring.
8. A healthcare professional training a patient on how to use an INR monitor and report the results for home INR monitoring, ensuring the patient’s understanding and ability to perform the procedures.
9. A physician providing comprehensive education and guidance to a caregiver on the use of an INR monitor and the reporting of INR test results.
10. A qualified healthcare professional instructing a patient on how to use an INR monitor and properly care for the device, emphasizing the importance of accurate reporting.