Wiki Pill Cam in office and Nurse visit

Jess1980

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Chattanooga, TN
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Can I bill a nurse's visit with CPT codes 91110 or 91111? I am finding conflicting information. It is the same with the esophageal and anorectal manometry as well. If anyone can shed some light on this I would appreciate it.
 
Why would you need a 99211? This would not be a nurse only procedure and would be prior scheduled. Any active performed by the nurse or provider is inclusive to the procedure .
 
pill cam and nurse visit

The nurse is meeting the pt prior to the pt. I thought based on all I know it would be included but the office is billing a seperate nurse visit. When I ran through CCI edits nothing came up.
 
You should not bill a 99211. You would have to put a modifier 25 on it, which indicates a "significant, separately identifiable E/M service," which isn't the case. It is included in the fee for the capsule endoscopy.
 
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