If you are billing outpatient facility the rules are different as it is the facility billing and not the nurse and the facility is allowed to bill for utilization of facility resources. If on the other hand this is physician office setting then only the provider may bill using office visit codes. The 99211 is a provider level it is not a nurse level, it is the level of care a provider is allowed to bill when ancillary personnel (ie nurse) is the one face to face with the patient following physician orders from a previous encounter for the same reason. The Provider is required to be within the office suite area while the patient is being seen. If your nurse is an NP then she falls under the definition of provider and may bill any visit level documented. NP, MD,DO, etc these are providers, Nurses , MAs, Techs, etc these are ancillary personnel.
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