99211 and U/A

NESmith

Expert
Messages
309
Location
Plant City, FL
Best answers
0
If a patient comes into an office with a supected UTI and the MA does a DIP Stick U/A and gives the results to the ARNP who looks at the results and signs off on them can a 99211 be billed for the work of the MA? Thanks as always for your help.
 

Evelyn Kim

Guru
Local Chapter Officer
Messages
201
Location
San Antonio, TX
Best answers
0
I don't beleive a 99211 can be billed unless the ARNP sees the patient, just signing off on the results is not enough to substiantiate billing any level.

This is a description for the 99211 from the Super Coder web site:

CPT code 99211 differs from the other office visit codes in that it does not require the three E/M components. In addition, the code descriptor specifies that the visit "may not require the presence of a physician." The advantage: CPT code 99211 can be reported for brief but medically necessary visits either with the physician or with a nurse or other applicable nonphysician practitioners (NPPs), such as physician assistants (PA), nurse practitioners (NP), and certified nurse specialists (CNS). Report separate and significant E/M services, including outpatient visits (CPT code range 99201-99215) on the same day as another service or procedure. In most cases it is appropriate to append a modifier to the E/M service code

An MA is not included in the description as a billable party.
 

mitchellde

True Blue
Messages
13,538
Location
Columbia, MO
Best answers
2
You cannot use the 99211 in this instance because to use this level for ancillary personnel tje visit must meet the incident to parameters, that is it must be a follow up encounter to a provider visit for the same problem. An MA cannot see a patient for a new problem and be the one to give the patient the ex and plan of care. The patient needs to see the provider face to face.
 
Top