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Memo

  1. #1
    Red face coding for lpn
    Exam Training Packages
    In our OB/GYN office our LPN did a preg test. Can the LPN do a 99211? The other coder here is stating that only RN can charge for 99211. Provider was here in office.

    Thank you for your Help:
    Last edited by obgyn1; 09-16-2011 at 04:41 PM. Reason: change the name

  2. #2
    Location
    Marion, OH
    Posts
    43
    Default
    I have never heard that it had to be an RN to bill. Per the codebook it just states "that may not require the presence of a physician". I have billed it for an LPN and a MA.

  3. #3
    Location
    Columbia, MO
    Posts
    12,571
    Default
    Quote Originally Posted by obgyn1 View Post
    In our OB/GYN office our LPN did a preg test. Can the LPN do a 99211? The other coder here is stating that only RN can charge for 99211. Provider was here in office.

    Thank you for your Help:
    You can charge a 99211 for any qualified ancillary person but it IS a physician level of service, it is the only level the PHYSICIAN may charge when a qualified ancillary person is the one seeing the patient face to face carrying out orders provided by the physician from a previous encounter. And the Physician is in the office at the time of the encounter. You may not charge for the Nurse (LPN or RN) to administer a preg test as the provider did not see the patient in a previous encounter and order this to be done. A nurse may not be the initial provider of care and deliver the diagnosis to the patient for an individual illness.
    Last edited by mitchellde; 09-19-2011 at 10:22 AM.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Default Lpn
    Thanks so much for your help.

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