AAPC - Back to school
Results 1 to 3 of 3

Thread: 99213 and higher

  1. #1
    Join Date
    Apr 2007
    Concord NC

    Default 99213 and higher

    AAPC: Back to School
    Good morning,

    I have a question regarding service 99213 and higher. I was under the impression that the doctor not a PA had to perform the exam (HPI, exam & MDM). Is this correct or can a PA perform these exams as well?

    Thank you in advance for any information.

    Beth Manus CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default PA or NP may perform

    The PA or NP may perform and bill for all services within his/her scope of practice. I've had PAs perform and bill all levels of E/M service (as per documentation, of course).

    You will bill under the PA or NP's NPI and name if this is a new problem. You can use the physician's name/number (i.e. "incident to" billing) ONLY if this is for an existing problem and an existing treatment plan the PHYSICIAN has previously outlined.

    If there is ANY deviation from the existing treatment plan ... e.g. PA changes a medication or orders a new diagnostic test ... then you MUST bill the service under the PA/NP's name & number.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Concord NC


    Thank you very much for your help.

Similar Threads

  1. Bill According to higher allowable? is this right?
    By cgifford in forum Compliance General Discussion
    Replies: 5
    Last Post: 06-09-2015, 02:53 PM
  2. Secondary has higher allowable than Primary
    By Cher91600 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-20-2014, 06:47 PM
  3. Higher reimbursement for Ecodes???
    By Dicey in forum Billing/Reimbursement
    Replies: 1
    Last Post: 09-04-2012, 02:36 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.