We are a family practice clinic with a hugh debate going on. We just had a patient present for an ear lavage, when the nurse looked in the ear, it was red, she then called the physician who also looked in the ear, offered antibiotics, which patient turned down, and then the nurse lavaged the ears. Our biggest thing going on here is when do you charge for a 99211 for strictly nurses services, even if they are supervised by physicians. We do a ton of blood pressure checks and ear lavages without the physician being present. We are just unsure about the documentation requirements for the 99211. What scenario's do other offices use to charge a 99211? We are interested in hearing from other offices. Thanks in advance for your opinions.