Internal Medicine Coding Alert
Nurse Could Count for 98960 Professional
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Question: Is it appropriate to use code 98960 for a nurse who completes extensive asthma education with individual patients as ordered by the provider? Florida Subscriber Answer: Practices sometimes wonder which of their staff might count as the "qualified non-physician health care professionals" mentioned in code 98960 (Education and training for patient self-management by a qualified nonphysician healthcare professional using a standardized curriculum, face-to-face with the patient [could include caregiver/family] each 30 minutes; individual patient). A respiratory therapist qualifies, so it stands to reason that a nurse trained in asthma education could also meet the criteria. Check with your state society about what scope of practice laws encompass, then discuss the matter with your individual payers.
Internal Medicine Coding Alert
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Nurse Could Count for 98960 Professional
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