Results 1 to 2 of 2

Office visit 99201

  1. Question Office visit 99201
    Medical Coding Books
    I'm not sure how to code this situation, any input would be helpful. We had a patient come in to the office as a walk in due to an accident at home. The patient was seen by the RN who had the physician come in and briefly examine the patient and made some recommendations. The RN coded the visit as nurse visit but the patient was never seen at the clinic before. After reviewing the dictation that was done by the nurse the level of service was 99201. Can I code it that way even though the physician did a brief exam and made some recommendations and the nurse took care of the rest including the dictation?

    Thank you,
    Lisa Nieft

  2. #2
    Columbia, MO
    An RN cannot provide an initial eval of a new or established patient. A nurse visit may be billed as a physician level 99211. It must be an established patient with a plan of care written by the physician in the chart that the RN is following. A new patient must be evaluated and examined by the physician, so the only documentation that can count is what the physician wrote, and it cannot reference the nurse eval and be considered as the physician documentation except for the ROS.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Home visit and office visit same day, how do I code
    By nelstx2 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-27-2013, 03:31 PM
  2. Replies: 5
    Last Post: 02-23-2012, 12:31 PM
  3. Billing a New preventive visit with a new or established office visit
    By ttcoding in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-22-2011, 02:14 PM
  4. Replies: 2
    Last Post: 02-02-2011, 09:33 AM
  5. Preventive visit, office visit, and a procedure on same DOS.
    By pvang in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-10-2010, 03:36 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.