from what I understand about services by med. assistants, PAs, etc. and what CPT says, if the injection is given by an assistant without a doctor in the room, I think you're supposed to bill 99211. as far as signing off I dont think someone who wasn't in the office at the time can sign anything because by signing it they are saying they approved what was happening and were available for help if needed, which wouldnt really be possible if they're not there. that's my understanding of it at least. anybody else have any thoughts?
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