Is Coumadin or Heparin considered a "drug requiring intensive monitoring for toxicity" under the Table of Risk?

Coumadin (any setting) and Heparin (hospital setting only) are considered high risk management options because they are drugs that require intensive monitoring for toxicity.

To be considered high risk management options, the patient’s drug levels must be monitored at appropriate intervals and documented in the patient’s medical record. This supports the provider’s involvement in the patient’s care.

Resource: CMS MLN Evaluation and Management Services Guide

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC


National Supplier Clearinghouse MAC


RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries



Click to Chat Now