you may not charge a 99211 as a nurse visit in this circumstane. The physician must have already examined the patient in a prior encounter and have the plan docuemnted for a return visit and must be present in the office. SO the patient has not been examined by the physician and ordered a follow up encounter. Ig the physician sees the patient in a face to face then he must document his own exam and can bill then what ever level his documentation supports. Signing off on the nurse documentation is not sufficient to bill any level. You may not bill a 99211 to administer injections either.
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