Results 1 to 3 of 3

billing 99211 for prescription pickup

  1. #1
    Default billing 99211 for prescription pickup
    Clearnace Sale
    Can anyone suggest where I can find information on if I can bill a 99211 when a patient comes in only to pickup a RX?


  2. #2
    I don't know if this will help but I just posted this on another post in this forum.

    I was taught that when you charge a 99211, minimal visit, documentation of the actual evaluation and management for the patient has to be done, including History, exam and MDM, even though they will be minimal, as it is still an E&M service. There also has to be medical necessity proven in the documentation. When you code the 99211, the NIP# that you bill under, whether it is NP or Dr, that person has to be in the office suite. I was specifically taught that it can not be used for phone calls, blood draws, or injections or infusions of medications. Let's say that we have a patient who is on coumadin and comes in for an INR check and that's all, even if the last one was reviewed with them and it is decided whether or not it will be increased, decreased, or stay the same, that does not qualify in itself for the 99211 code to be charged. There has to be a Hx, Exam, MDM done. Hope this helps

  3. #3
    Mobile, Alabama
    Billing any level of E/M service for some patients means also collecting a co-pay. Frankly, if I had to fork out a $25 co-pay for picking up a prescription, I would be most unhappy !!!

Similar Threads

  1. Billing 99211
    By SLKappa in forum Billing/Reimbursement
    Replies: 3
    Last Post: 03-05-2015, 01:33 PM
  2. Billing 99211 for Rx pickup?
    By jhyatt3080 in forum E/M
    Replies: 3
    Last Post: 01-15-2015, 02:22 PM
  3. billing 99211
    By apena in forum Billing/Reimbursement
    Replies: 2
    Last Post: 07-19-2014, 03:13 PM
  4. Billing a 99211 for an MA
    By maclou in forum E/M
    Replies: 1
    Last Post: 12-13-2012, 04:38 PM
  5. Billing for 99211
    By hopkins441 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 11-11-2010, 01:28 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.