Anna Weaver
Guest
I'm confused on this one! I have read other sources that says 99211 cannot be reported unless the physician is in the office (incident-to)
Medicare claims processing manual states:
"The CPT 2006 includes a parenthetical remark immediately following CPT code 90772 (Therapeutic, prophylactic or diagnostic injection; (specify substance or drug); subcutaneous or intramuscular.) It states, “Do not report 90772 for injections given without direct supervision. To report, use 99211.”
This coding guideline does not apply to Medicare patients. If the RN, LPN or other auxiliary personnel furnishes the injection in the office and the physician is not present in the office to meet the supervision requirement, which is one of the requirements for coverage of an incident to service, then the injection is not covered. The physician would also not report 99211 as this would not be covered as an incident to service."
96372 cannot be reported unless the physician is in the office. So, what do you do? If neither can be reported without physician present, why even provide the service if the physician is not in office.
Can anyone clarify for me please? Would appreciate all answers!
Medicare claims processing manual states:
"The CPT 2006 includes a parenthetical remark immediately following CPT code 90772 (Therapeutic, prophylactic or diagnostic injection; (specify substance or drug); subcutaneous or intramuscular.) It states, “Do not report 90772 for injections given without direct supervision. To report, use 99211.”
This coding guideline does not apply to Medicare patients. If the RN, LPN or other auxiliary personnel furnishes the injection in the office and the physician is not present in the office to meet the supervision requirement, which is one of the requirements for coverage of an incident to service, then the injection is not covered. The physician would also not report 99211 as this would not be covered as an incident to service."
96372 cannot be reported unless the physician is in the office. So, what do you do? If neither can be reported without physician present, why even provide the service if the physician is not in office.
Can anyone clarify for me please? Would appreciate all answers!