Wiki Pharmacist "Incident To" E/M

firetorah

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First, sorry for posting a new thread but I just can't seem to find a straight answer no matter how much I search.

Here's two questions:

For Medicare patients only

1) A physician sees a patient for a properly documented 99214 office visit, then sees a pharmacist for 15-20 minutes after that to go over his meds, etc.... Medicare will not pay MTMS (99605, 99806, 99607). How do I code for the Pharmacist's time? In the absence of a charge for the Pharmacist, the provider now uses that time to make this E/M a 99215 by time, is this a no-no?

2) Can a Pharmacist who has his own NPI, following all the rules of "Incident To" billing, code anything higher than a 99211 during a Pharmacist only visit?

Please! What is the straight answer for coding Pharmacist's services to Medicare patients??

I thank you in advance for your patience with me.
 
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