• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Face to Face with Patient

Messages
5
Location
Saint Augustine, FL
Best answers
0
Please advise:

Our office is strictly Pediatrics. We require parents or legal guardians present to the office in person to pick up ADHD prescriptions/refills on a monthly basis. The nurse will then ask the parent/guardian a couple questions pertaining to how the pt is responding to the Rx.

We have always billed 99211 for this service. In most cases, the pt does not present with the parent or guardian, so there is no face to face between the nurse and the pt. CPT code 99211 does not state that face to face with the patient is required, therefore we can bill 99211 for this purpose, correct???

Your feedback on this is much appreciated!
 
This is not appropriate use of E&M codes for prescription refills. Novitas-solutions has a great list of Frequently asked E&M questions and this is addressed and the Medicare specified guideline is shared on the last question.

The patient must be evaluated to bill for a 99211. Medicare requires a problem/complaint by the patient and face to face encounter.
 
Last edited:
Top