Results 1 to 5 of 5

99211, Dressing Changes, and NPs

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default 99211, Dressing Changes, and NPs
    Exam Training Packages
    I audit for the retail clinic side (among others) and this question has come up...

    A patient comes into the clinic with an open wound. We treat it (cleaning, wound dressing, maybe even ab if there is some cellulitis), and they're following up for recheck. Since cleaning, wound dressings, and possibly prescribing an ab is not surgery, and the patient presents for a wound check and a dressing change, what E/M code would we use here? I guess what I'm asking is can we report 99211 if the service is being done by an NP and no physician is onsite?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Documented level of service
    An NP is perfectly capable of documenting any level of E/M service. Code what was documented - under the NP's name/number.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    I kinda of thought that as well, but if it is Medicare, we would have to meet "incident-to" requirments to bill the 99211 correct?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default NO
    If the physician is not in the office suite ... just bill the NPs documented level of service 99201-99215 as appropriate and documented. Bill under NP name/number ONLY.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

Similar Threads

  1. Procedure reimbursement for NPs/PAs
    By 01051184 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 12-11-2014, 10:15 AM
  2. Locum Tenen for PAs and NPs
    By phillykitty in forum Compliance General Discussion
    Replies: 0
    Last Post: 01-31-2014, 08:55 AM
  3. E & M Coding for NPs
    By ecaissie in forum Internal Medicine
    Replies: 3
    Last Post: 10-15-2013, 09:28 PM
  4. NPs and EKGs
    By jtb57chevy in forum Cardiology
    Replies: 0
    Last Post: 04-04-2012, 12:50 PM
  5. NPs and CNMs and initial OB visits
    By lorilynn7657 in forum OB/GYN
    Replies: 1
    Last Post: 03-29-2012, 06:32 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?

Login

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.