Wiki E/M guidelines

[love_janet43@yahoo.com]

I have a question regarding the E/M coding for a straightforward problem; per the recent AAD presentation, E/M Coding Changes for 2021, Major changes ahead, the straightforward level clearly states that the problem may not require the presences of the physician or other QHP. I have also seen this wording in a NAMAS article. Does this mean that the nursing staff can bill a 99212/99202 under the physician's supervision?

 

[AmandaBriggs]

No, nursing staff is only eligible to bill a 99211 under the physician's supervision. The verbiage for a straightforward problem simply means that the problem would have likely resolved on its own, but the patient chose to pursue care for it.

 

[love_janet43@yahoo.com]

Thank you!