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Nurse visits

  1. Red face Nurse visits
    Medical Coding Books
    Does anyone else charge a nurse visit for urine dips and blood draws?

    Thanks

  2. #2
    Default
    Our office does not bill 99211 when only doing a blood draw or urine dips. On www.trailblazerhealth.com there is a document called Documentation Requirements for CPT Code 99211. It states that amont other things, this code should not be used to bill "when drawing blood for laboratory analysis or when performing other diagnostic tests, whether or not a claim for the venipuncture or other diagnostis study test is submitted separately." The documentation for code 99211 or any other E&M code in this circumstance must demonstrate a need for clinical evaluation and management.

    Zaida, CPC
    Urology Practice

  3. #3
    Default
    I totally agree with Zaida.

  4. #4
    Default Blood Draws and Urine Tests
    I charge only the codes for the blood draw 36415 and urinalysis 81002. No separate 99211 is billed with them for nursing visits.
    Heather Winters, CPC, CFPC

  5. Question Tissue expander fills using 99211
    What about for tissue expander fills?? We have never billed for these in the past, but we have some patients that are coming in after thier global period. So they want us to now start billing for any fills by a nurse. Thanks

  6. #6
    Default
    Quote Originally Posted by terridiaz View Post
    What about for tissue expander fills?? We have never billed for these in the past, but we have some patients that are coming in after thier global period. So they want us to now start billing for any fills by a nurse. Thanks
    terridiaz,
    Have you looked at 11950 - 11954?

    These should work :

    11950 Subcutaneous Injection of Filling Material, 1 cc or Less
    11951 " " 1.1 - 5.0 cc
    11952 " " 5.1 - 10.0 cc
    11954 " " over 10.0 cc

    Let me know!!

  7. Default
    Thanks, I am going to look at this. Sounds like 99211 isn't what we should be billing.

  8. Default 99211 nurse visits and UAs
    Does anyone know if this information is still applicable today? I am being asked to bill for both and want to make sure I am not doing anything I shouldn't be. Thanks in advance!

  9. #9
    Location
    Columbia, MO
    Posts
    12,822
    Default
    Quote Originally Posted by Tazlar View Post
    Does anyone know if this information is still applicable today? I am being asked to bill for both and want to make sure I am not doing anything I shouldn't be. Thanks in advance!
    Yes it is still valid. You do not have the criteria met to bill a visit level in addition to the other activity. A physician must order the the UA or blood draw from a previous encounter ( even if it was a phone encounter). Therefore you do not have a separately identifiable visit to be billed, you have the services provided to billed. To bill a 99211 as a non physician face to face encounter, you are billing for a service that has no individual CPT code such as blood pressure check. Also the physician you are billing under must be present in the office at the time of the service.

    Debra A. Mitchell, MSPH, CPC-H

  10. Default Thank you!
    This information is greatly appreciated!

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