99212vs99211

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At an Opthalmologist/Optometry practice, whenever a patient returns to have measurements done for the 2nd Cataract removal (additional testing,h&p,choosing a replacement lens, approximately 20 minutes ), a tech has been charging a 99212 billed under the non-present Opthalmogist. An optrometist is the supervising provider. Where is it written that this can't be billed as such?
 

Shareen

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The Tech visit should be billed as 99211 - this code is for techs, nurses, and medical assistants. Techs, MA's and Nurses cant bill incident to codes.

Hope this helps
Shareen
 

mmelcam

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St. Louis, Missouri
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I agree with Shareen the tech should bill a 99211. If you look in your cpt book under 99211 it states for the evaluation and management of an established patient, that may not require the presence of a physician.
 
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