AAPC - Back to school
Results 1 to 4 of 4

Thread: 99211 with therapeutic procedure

  1. #1
    Join Date
    Apr 2007
    Anchorage, Alaska

    Default 99211 with therapeutic procedure

    AAPC: Back to School
    Can 99211 be billed with cold laser therapy? The cold (low level) laser therapy is part of the treatment plan documented by the provider so it would be incident to. The patient schedules specifically to come in to have the laser treatment and nothing else. The medical assistant performs the therapy. I have read that in order to also bill 99211 that there would need to be a significant separate reason for the 99211. Would it be considered medically necessary to bill both 99211 and 97039 if they have to take blood pressure for pain level monitoring, ask the patient their pain level before and after the treatment and determine whether progress was made or not? (in addition to doing the treatment) If so, what would need to be documented for the 99211 besides the cc, vitals, pain levels, progress and assessment? I would appreciate any help.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    no the vitals and pain monitoring are an integral part of the procedure so the visit is not significant and separately identifiable so you cannot charge a visit level in addition to the procedure, even a 99211.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Default 99211

    i believe this exceeds the intent of a 99211.

  4. #4
    Join Date
    Apr 2007
    Anchorage, Alaska

    Default Thanks

    That's what I thought but my employer was told otherwise by the salesperson of the laser, as usual. Thanks for your help.

Similar Threads

  1. procedure codes 99211, 36416, 85610-QW ?
    By Love Coding! in forum Cardiology
    Replies: 3
    Last Post: 12-02-2011, 07:32 AM
  2. PT / OT Therapeutic procedures
    By Audrey49 in forum Orthopaedics
    Replies: 0
    Last Post: 06-16-2011, 09:41 AM
  3. Therapeutic Procedures
    By mosmith in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-23-2010, 12:50 PM
  4. Therapeutic procedure
    By rashmi.gupta in forum Internal Medicine
    Replies: 5
    Last Post: 01-27-2010, 02:06 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.