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physician signature needed? 99211

  1. #1
    Default physician signature needed? 99211
    Medical Coding Books
    Criteria is met to charge a 99211. Does the Dr. need to sign the note or is the nurse siganature sufficient? thanks

  2. #2
    Grand Rapids, MI
    Default No replies
    Joe I'm curious as to why you haven't had any answers on this question? Is it because it's a silly question or is it because nobody has the answer? I am not real sure if I can answer your question correctly. Are there any seasoned billers out there that can help us out?

  3. #3
    Greeley, Colorado
    I don't believe the MD signature is required.
    Lisa Bledsoe, CPC, CPMA

  4. Default
    The following is an excerpt from the CMS NCD "Incident to a Physician's Professional Service in the Office or Clinic- PHYS-004" It doesn't specify a physician signature is required, but the physician involvement must be documented in the note.

    1. The progress note must substantiate the service performed and be signed by the person
    performing it.
    2. When the physician is involved with a particular service, his or her contribution to the
    care must be documented. This will assist in substantiating his or her continued
    involvement in the patient's care.
    3. The extent of physician involvement should reflect the patient's condition, increasing
    with instability and uncertainly of the situation.
    4. All documentation should support the level of care provided.

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