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Thread: Nurse Practitioner Billing Level 4 E/M's

  1. #1
    Join Date
    Apr 2007
    Rochester, NY

    Default Nurse Practitioner Billing Level 4 E/M's

    AAPC: Back to School
    I have a nurse practitioner who wants to bill level 4 and 5 E/M levels. Can she do that? Does Medicare allow this? Has anyone had any problems billing this out? I'll be using the new NPI #'s soon.
    Kim Barnes, CPC

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Kim - as long as the NP's documentation supports those levels it should not be a problem.

  3. #3


    As long as you are billing under the NP's numbers. "Incident to" would not be appropriate, in my opinion, because for medical necessity, they would be performing medical decision making and not following the doctor's plan of treatment (incident to). This is the way it was put to us in a meeting where the speaker spoke on NP Billing. I don't have written documentation but hope it helps.

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