What qualifies for a 99211?
Code 99211 describes a face-to-face encounter with a patient consisting of elements of both evaluation (requiring documentation of a clinically relevant and necessary exchange of information) and management (providing patient care that influences, for example, medical decision making or patient education).
Can I bill 99211 for medical assistants?
A: The 99211 E/M visit is a nurse visit and should be used only by a medical assistant or a nurse when performing services such as wound checks, dressing changes or suture removal. CPT code 99211 should never be billed for physician, physician assistant or nurse practitioner services.
Does 99211 require face to face?
Procedure code 99211 requires a face-to-face encounter. However, when billed as an “incident to” service, the physician’s service may be performed by ancillary staff (such as a nurse, or other qualified clinical staff such as a nurse practitioner) and billed as if the physician personally performed the service.
Does 99211 require direct supervision?
Although physicians can report 99211—the CPT’s intent with the code is to report services rendered by other individuals in the practice (such as a nurse or other qualified clinical staff). According to CPT, the nurse may communicate with the physician, but direct intervention by the physician is not required.
What is a CPT 99211 office visit?
CPT 99211 define as “Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem (s) are minimal. Typically, 5 minutes are spent performing or supervising these services.”
What is the CPT code for an office visit?
However, one prominent exception to this is CPT’s level-I established patient encounter CPT Code 99211 for an office visit. CPT defines this code as an “office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician.”
What are the documentation requirements for E/M code 99211?
Also, unlike the other E/M codes, CMS did not provide documentation requirements for code 99211 in the “E/M Documentation Guidelines.” Procedure code 99211 describes a service that is a face-to-face encounter with a patient consisting of elements of both evaluation and management.
Can flow sheets be used for 99211 services?
[For some examples of flow sheets that can be used for 99211 services, see “Coding Level-One Office Visits: A Refresher Course,” FPM, July/August 2000, page 39 .] Code 99211 is commonly used for services such as patient education, simple rechecks and medication reviews.