Results 1 to 9 of 9

Thread: Blood Pressure check Coding

  1. #1
    Join Date
    Apr 2007
    Location
    Honolulu
    Posts
    186

    Smile Blood Pressure check Coding

    We have a nurse that Blood Pressure check on an established pt. The patient had HTN. But the nurse did not do vitals, no advice documented. No exam or history documented. Can this still be 99211? I don't think so. But how would you code this encounter? Help.

  2. #2
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    11,471

    Default

    You say she did not do vitals but did she do a bp? did she document in the chart? If so the yes it can be a 99211 as long as a physician was within the office suite at the time of the visit.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Location
    Honolulu
    Posts
    186

    Default Blood Pressure check

    Here it is...we are not sure if the doctor was in the office. The documentation is very scant, that is the problem here. What it looks like is that this is an established patient that stopped by the office to have his blood pressure checked and was found to have HTN. What do think?

  4. #4
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    11,471

    Default

    HMMMMMMMMMM.... NO. The nurse cannot diagnose HTN only the provider can do that and for the nurse to be able to charge a 99211 she has to be following up on an treatment plan already established by the physician.. no matter who the payer is.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Join Date
    Apr 2007
    Location
    Honolulu
    Posts
    186

    Default Blood Pressure Check

    I agree with you. But how do I code this encounter?

  6. #6
    Join Date
    Apr 2007
    Location
    Honolulu
    Posts
    186

    Default Blood Pressure check

    Thanks Debra. I appreciate your skill and time that you take to answer me questions. You are really helping all of us coders out in the world.

  7. #7
    Join Date
    Apr 2007
    Location
    Lubbock, TX
    Posts
    1,505

    Question

    What about 796.2 (Elevated BP w/o diagnosis of HTN)? Could you not bill that w/99211?

  8. #8
    Join Date
    Apr 2007
    Location
    Honolulu
    Posts
    186

    Default Blood Pressure check

    You changed your picture. Elevated BP was not in the note, and still a nurse can not diagnose a patient. It was scant documentation. I did not attached a code, saying it was "insufficient documentation" and "nurses can't diagnose."


  9. #9
    Join Date
    Apr 2007
    Location
    Lubbock, TX
    Posts
    1,505

    Thumbs up

    Yes I did!
    You did the right thing, then. Perhaps in the future they'll take better notes.

Similar Threads

  1. dx for blood pressure check
    By Networker3412 in forum Diagnosis Coding
    Replies: 6
    Last Post: 08-28-2013, 12:05 PM
  2. Blood pressure check while pregnant
    By kristydews in forum OB/GYN
    Replies: 0
    Last Post: 01-04-2013, 09:53 AM
  3. Blood Pressure Check
    By jwschroeterjr@gmail.com in forum Diagnosis Coding
    Replies: 0
    Last Post: 01-20-2011, 02:35 PM
  4. Blood Pressure Check
    By jwschroeterjr@gmail.com in forum Diagnosis Coding
    Replies: 0
    Last Post: 01-20-2011, 02:34 PM
  5. Blood pressure check
    By MMillercpc in forum Diagnosis Coding
    Replies: 0
    Last Post: 09-17-2009, 11:53 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
  •