dballard2004
True Blue
This is going to sound like an odd question, but my company is giving me grief on this, so I'm looking for other opinions here, please....my company recently opened a clinic that is staffed only by nurses (RNs). There is no MD, PA, or NP onsite, just an RN. The clinic is very limited in scope of course because it is only a nurse on staff. Now here is the dilemma, the nurses want to code these visits using 99211 and my company agrees with this. I say that because there is no provider at all onsite, meaning no MD, PA, or NP, these patients never establish care to this clinic, so 99211 can't be used since this code is only for established patients. I am also looking at this as "incident to" guidelines are not being met either. I'm curious to know what others say here. Am I on the right track here? Thanks.