Billing 99232 under MD

brewsters

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Hi there! Hope everyone is doing well.

If I have a mid-level performing a 99232 under the supervision of a physician and the physician signs off on the note, can it be billed under the physician? The patient's insurance does not contract with mid-levels.
 

thomas7331

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No, 'incident to' is not allowed in a facility location, only in the office - this service would have to be billed under the mid-level. The only exception would be to bill as a 'shared visit' which would be allowed as long as the supervising physician also performed and documented a portion of the E&M service, but just signing off on the note would not qualify.
 

brewsters

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Thank you so much for the quick response. I see where the physician contributed to the note and signed off, but the mid-level dictated most of the note.
 
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