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Charging 99211 for pill counts

  1. #1
    Default Charging 99211 for pill counts
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    My office (pain management) prescribes many patients with narcotics. We see these patients once every 28 days for re-evaluation and Rx refills. Occasionally we call patients in between scheduled visits for random pill counts in order to make sure they are compliant. If we take their vitals and update the history, can we bill a 99211 for this visit?
    Walker Bachman, CPC, CPPM

  2. Default
    Are you asking about a 99211 for the phone call or for a nurse office visit?

    No, you can't code for a 99211 for the pill-count phone calls. There are E&M codes for nurse phone calls. Check out the codes 98966, 98967, 98968 and see if they apply to what you are doing and documenting

    For the in-office eval and RX refill, yes, you can code a 99211 (only if the patient is not also seeing the physician the same day). Document the patient status (history, ROS), vitals, current dose and if any change in dose or any non-compliance.

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