Prescription for Warfarin
I’ve been prescribed Warfarin and told I need to regularly test my blood for its coagulation level. My provider says I can do the test at home eliminating the need for frequent trips to a clinic. How do I get a meter to use at home?
How Do I Get a Meter
The Coag-Sense® PT/INR Monitoring System is available to the professional user as well as a patient self-tester and provides superb, reliable results. These results can be communicated directly to your provider via Wi-Fi, ethernet, Bluetooth, or USB.
The manufacturers of the Coag-Sense® System do not sell directly to the consumer.
If you are a non-Medicare patient and would like to purchase your meter out-of-pocket or using your insurance, you will need to contact a distributor such as Wilburn Medical or STAT Technologies.
Many private insurance providers also cover Home INR Monitoring, although coverage may differ according to your plan. A Distributor can sell you the system. Then, the invoice can be submitted to your insurance provider for reimbursement of the covered portion.
An insurance provider may ask for one or all of the following codes:
- CPT Code (Procedural Code for the INR Test) = 85610(QW)
- DME Code (Durable Medical Equipment) = Miscellaneous E-1399
- ICD-10 (International Classification of Diseases) = Provided by your physician
Medicare covers the cost for Home INR Monitoring provided you have been on anticoagulants for at least three months before starting home monitoring. As a Medicare patient, 80% of the cost of a meter could be covered by Medicare once you have met the annual deductible. The cost of the testing supplies is usually covered 100%. Medicare requires that one test be performed per week and that those results are submitted and reviewed for anticoagulation management.
An Independent Diagnostic Testing Facility (IDTF) such as Lincare can facilitate this process for you.
To reorder supplies, you will need to contact your original distributor, i.e., the distributor (or IDTF) who originally placed the meter in your hands. They can help you obtain the supplies you will need to continue testing successfully.