Wiki Billing out E&M level for Nurse Educator

[Kaydeen]

We are questioning if our Nurse Educator can bill out 99214 if she is not doing the Exam component and she would only be one area of the MDM.
She is spending 45-60 minutes with each patient. Thank you

 

[mitchellde]

A provider office cannot bill higher than a 99211 for RN E&M service and must meet the criteria for incident to. You may want to look at 98960 for this service. However a physician must still be on site.

 

[CodingKing]

What type of education are you referring to. There may be a more appropriate code.

 

[Kaydeen]

Diabetic education, weight management etc

 

[CodingKing]

is it a standardized curriculum? How about 98960 which is reported as per 30 min