Results 1 to 3 of 3

Billing RN services

  1. #1
    Default Billing RN services
    Medical Coding Books
    we recently hired a RN to help our patients and parents with specific issues such as asthma, obesity and breastfeeding.
    We are looking into billing for educational services such as asthma management in the future but as of right now she is helping new moms with breastfeeding issues (after the Dr sees the baby) and reviews ADD consultation paperwork with parents before the Dr sees the child.
    My Dr says he is going to up this the best way to bill for the RN's time? I know for certain billing 99211 is not something we're prepared for just yet.
    Any help would be great!
    Thanks Tina O'Sullivan CPC

  2. #2
    Columbia, MO
    You may never upcode a physican encounter level due to nursing time. If the training is done in a separate session from the physician encounter you can go to 98960 and some carriers do pay this code. But performed on the same day as a physician encounter there is really no way to code for nursing time spent.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Thank you Debra! We are talking about using 98960 and yes some insurances will cover her services. But since she is new we are just starting to discuss educational groups for asthma and obesity...but that's down the road.
    I work in the office and can hear my Dr's pulling her in rooms to talk to new mommies and she will be performing step one in ADD evals. When my Dr said he was going to up code I shivered a little and wanted to make sure that was correct! but apparently not! thanks for your input!

Similar Threads

  1. Billing new services
    By in forum Cardiology
    Replies: 2
    Last Post: 03-20-2014, 07:33 AM
  2. Replies: 0
    Last Post: 08-24-2012, 08:09 PM
  3. PA-C billing for ER services
    By Cheryl O in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-16-2012, 11:17 AM
  4. Billing Services
    By mmagness in forum Employment General Discussion
    Replies: 4
    Last Post: 09-30-2010, 11:52 AM

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.