How about if it was done by a nurse during a non-scheduled visit ?
Unless the provider saw the patient in a previous visit for the same reason and ordered the swab as a follow up, there is no code you can charge. A 99211 as an incident to charge is for a visit that is incident to a physician having already evaluated and diagnosed the patient with a written plan of care that outlines the activity to be performed. If this patient presents symptomatic, the nurse cannot decide that a lab test wth a swab is the appropriate action, even if this is verbally discussed with the provider.
This is very helpful information! So if the the physician ask the the nurse to perform a swab to be sent to the lab to be tested for flu we would then code on 99211 and the symptoms?