Primary Care Coding Alert

Your nurse visits will withstand scrutiny safeguarding almost $20 per claim. With incident-to services on insurers- radar, you-ve got to ensure documentation supports your 99211 claims to avoid facing huge paybacks. Code 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of the physician. Usually, the presenting problem[s] are minimal. Typically, 5 minutes are spent performing or supervising these services) pays approximately $18.75 (0.52 relative value units on the 2009 Medicare Physician Fee Schedule) per encounter. To see if your 99211 charges will stand up on review, take this quiz. Patient, Diagnosis Are Established Question 1: A new patient comes in for a blood pressure check, which a licensed practicing nurse (LPN) takes. Is there a CPT nurse visit code for a new patient? Answer 1: -It would not be appropriate to report a nursing service E/M (99211) [...]