Wiki 99211 Prof Charge in OP Hospical Clinic

Create Wiki
S

sstreiber

New
Messages
6
Best answers
0
Consider this:

A patient is seen in an outpatient hospital clinic for a weight check (or anything else that does not have its own CPT code). The weight check is performed by a Medical Assistant who is the employee of the hospital. The clinic is overseen by physicians who are in the employ of a group that is separate from the hospital.

Question: Is the physician permitted to bill a 99211for the service that was rendered to the patient?

Thanks for your input!
 
No

No service was provided by the physician or HIS staff (the MA is an employee of the facility, not the medical practice). So, no physician bill.

F Tessa Bartels, CPC, CEMC
 
What about the Internal Medicine MA doing 85610 and 36416? I though that if the note was written about the encounter and the Provider signed it, you could use 99211.
 
No Significant Separately Identifiable E/M

In order to code any E/M along with a procedure you must have documentation of a signifant separately reportable E/M. The scenario you describe has no such service ... NO physician bill.

F Tessa Bartels, CPC, CEMC
 
You must log in or register to reply here.
Top