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Thread: 99211

  1. #1
    Join Date
    Apr 2007
    Nashville, TN

    Default 99211

    AAPC: Back to School
    Can any one provied me a link where I can find detailed information on the use of 99211. the guidelines in the CPT book is not very detail to what I need to know. I want to know if a patient comes in as a new patient and only see a nurse will you still use 99211 if they are a new pt? Do you use 99211 for an NP? If the patient comes in to see a nurse and a nurse is not avalible so a NP or a physician see the pt do you still code 99211?

  2. #2


    Here's an article that I have found helpful: http://www.trailblazerhealth.com/Pub...9211JobAid.pdf

    Megan Barber, CPC

  3. #3
    Join Date
    Apr 2007
    Swainsboro/Statesboro, GA

    Default 99211

    This code description is for an established patient, and would not be appropriate for a new patient. This code also states "may not require" the presence of a physician (or NP) so it could be used if the documentation supports this lowest level of service.

    I hope this helps!

    Savannah, GA

  4. #4
    Join Date
    Apr 2007
    Portsmouth Virginia


    If a patients first visit to a new practice is with a nurse, then yes you would bill 99211. The New Patient E/M service would be used when they have their first encounter with a physician.


  5. #5
    Join Date
    Apr 2007
    North Carolina

  6. #6
    Join Date
    Apr 2007
    Milwaukee WI

    Default Why is NEW patient only seeing nurse?

    Why would a new patient come in just to see the nurse? Is this possibly a pre-first-visit where labs are drawn? In that case, you shouldn't bill any E/M service at all but only the labs/etc that are performed that date.

    F Tessa Bartels, CPC, CEMC

  7. #7

    Default Thank you

    Quote Originally Posted by rebeccawoodward View Post
    I want to thank you Rebecca, this code was confusing to me. I was told it was only for the use of ancillary staff, not for physicians.
    C.A., CPC

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