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New Patient - Nurse Visit

  1. #1
    Wink New Patient - Nurse Visit
    Medical Coding Books

    What E/M code would you use for a new patient who is only visited by a nurse? This patient was on board a ship for vacation when he fell ill and a nurse was called to evaluate him/treat him. I thought about coding 99211 but in this instance, the patient is new not established. Thoughts?


  2. #2
    Columbia, MO
    A nurse in a physician setting cannot see and evaluate and treat a new patient so you cannot bill it.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Where are you getting that information from? Can you provide the link?

  4. #4
    Columbia, MO
    Quote Originally Posted by Vochoa4190 View Post
    Where are you getting that information from? Can you provide the link?
    An RN/LPN is not credentialed and has no NPI number to be billed with. A new patient encounter cannot be incident to nor a shared encounter. It can be a physician encounter billed under the performing physician NPI, an NP billed under the NP NPI , and in some states a PA billed under the PA NPI. There is no link for this it is standard billing rules. Why are you thinking these are billable encounters?

    Debra A. Mitchell, MSPH, CPC-H

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