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Thread: Est. pt o/v codes

  1. #1
    Join Date
    Apr 2007

    Default Est. pt o/v codes

    AAPC: Back to School
    Can a nurse pract. bill a level 4 ov & a prolonged svc code. Also, does the amount of time need to be documented in chart?

    Which can do more a nurse pract. or a PA?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Scope of practice

    The scope of practice is defined in your state's licensing regulations for Nurse Practioners and Physician Assistants.

    In general, yes they can bill ALL E/M services that are in their scope of practice (critical care requires special licensing in our state).

    If you are going to use any code that requires that time be documented (discharge day management, prolonged service, critical care) you MUST document the time.

    Our state has a stricter requirement for physician supervision of PAs vs NPs, but both can perform the same services.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007

    Default Scope of practice

    Thanks. It does.

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