I don't beleive a 99211 can be billed unless the ARNP sees the patient, just signing off on the results is not enough to substiantiate billing any level.
This is a description for the 99211 from the Super Coder web site:
CPT code 99211 differs from the other office visit codes in that it does not require the three E/M components. In addition, the code descriptor specifies that the visit "may not require the presence of a physician." The advantage: CPT code 99211 can be reported for brief but medically necessary visits either with the physician or with a nurse or other applicable nonphysician practitioners (NPPs), such as physician assistants (PA), nurse practitioners (NP), and certified nurse specialists (CNS). Report separate and significant E/M services, including outpatient visits (CPT code range 99201-99215) on the same day as another service or procedure. In most cases it is appropriate to append a modifier to the E/M service code
An MA is not included in the description as a billable party.
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