nurses visit during a test

Jlokloski

Networker
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If a patient comes into the office for a test such as an echocardiogram and starts having issues with their blood pressure and a nurse is called in to deal with the new problem can we bill a 99211 with a modifier 25 and for the echo as well?
 

thomas7331

True Blue
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The E/M visit and modifier would be supported if the problem was unrelated to the test, but keep in mind that nurse visits have to be 'incident to' a physician's service. You describe this as a 'new problem' which is outside the scope of 'incident to' services - usually the physician would have to have seen the patient first for any new problem. But if the blood pressure problem is already under a plan of care of the physician and the nurse is just implementing that plan of care, then the 99211 could be appropriate.
 
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