Results 1 to 3 of 3

99211 for self injection training

  1. Default 99211 for self injection training
    New Call-to-action
    I am looking for examples of the documentation needed for a 99211 billed by a nurse for self injection training. Where would I go to find documentation examples and guidelines for self injection training by a nurse billing a 99211?

  2. #2
    Columbia, MO
    I would look at 98960 instead.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    So it appears that 98960 is no longer covered by Medicare. You didn't specify who the insurance carrier is, which is fine. However, in the event the patient has Medicare (or to potentially avoid future denials with carriers following Medicare guidelines on 98960), I found the following from AARC:
    "Self-management education and training services are not separately billable codes under Medicare and are not paid by Medicare when submitted for any outpatient bill type (e.g., hospital outpatient, physician office). If the service is covered, payment for it would be bundled into the payment for other services for which the patient is being treated. This would be true in the inpatient setting as well where services are paid under the assigned DRG. However, certain private plans may not necessarily follow Medicare with respect to this issue and may cover these services."

    There is an article (from 2000 though) by AAFP which covers 99211 pretty well.
    "When you have exhausted all possibilities, remember this: You haven't!"
    -Thomas Edison

Similar Threads

  1. 99211 for cancelled facet joint injection
    By melbarbee in forum Billing/Reimbursement
    Replies: 4
    Last Post: 05-21-2015, 07:19 PM
  2. 99211 on same day as injection
    By AKAJBART in forum E/M
    Replies: 4
    Last Post: 08-04-2014, 12:32 PM
  3. Replies: 2
    Last Post: 05-29-2012, 04:46 PM
  4. 99211 for a injection
    By grandmacora in forum E/M
    Replies: 2
    Last Post: 03-09-2012, 07:23 AM
  5. 99211 w/Infusion-Injection
    By aholla04 in forum E/M
    Replies: 0
    Last Post: 10-25-2010, 03:24 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.