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Help with 99211

  1. Question Help with 99211
    Medical Coding Books
    Our office does a lot of nurse visits -- generally we would bill a 99211, but in some cases we are unsure if we should be the 99211 in addition to other CPT codes or not...in particular we do a lot of protimes, PPDs, allergy shots, and injections. Do these codes already include the "nurse visit" or should we be billing the 99211 along with these codes? Can anyone help me out. Thanks!

  2. #2
    Location
    Pottstown/Philadelphia
    Posts
    266
    Default
    I know for our physicians visit we only bill the injections as a separate charge if they are infact separtate from the visit.

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Purpose of visit
    If the purpose of the visit is to receive the injection NO E/M service should be billed ... just the administration of the injection.

    I would not use the 99211 for the routine return to have the PPD checked ...
    UNLESS ... if the result is positive and further evaluation is warranted, then you'll have an E/M service (9921x)

    F Tessa Bartels, CPC, CEMC

  4. #4
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    We use a 99211 if sutures were put in another place of sevice and removed at our office.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

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