Medicare Compliance & Reimbursement

Hint: The 'nurse visit' code isn't just for nurses If you are one of the many coders confused about when to use CPT code 99211, it's time for a reality check. Many people fail to use 99211 when they should, or they'll use it incorrectly. The following 99211 myths can help you report this code correctly every time. Myth: You should use 99211 only for nurse visits. Fact: Physicians, nurse practitioners, and physician assistants can use 99211 as well as nurses. If a non-physician bills under the billing physician's name using 99211, you still have to make sure you follow the "incident-to" regulations. Ensure that your documentation actually supports the use of 99211. Myth: You should automatically use 99211 to bill for allergy shots and vaccinations if the provider did not provide any other service. Fact: You can't bill 99211 for just an allergy shot or vaccination. For allergy shots, [...]