Your help is needed in regards to the Primary Care Exception of Teaching Physician guideline for Medicare. It is my understanding that under the Primary Care Exception we are only allowed to bill for services of 99201-99203 and 99211-99213. Any other service than those do not fall under the primary care exception and would be subject to the Teaching Physician guidelines (ie, if the teaching physician was not present/did not see the pt and the resident performed 99214 or 99215 this service would not be billable). If you agree or disagree please provide valid documentation guidelines. Thanks a bunch for your input.