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-   -   RN Level 1 Visit (http://www.aapc.com/memberarea/forums/showthread.php?t=93544)

jenp2005 06-10-2013 03:46 PM

RN Level 1 Visit
Can you bill a RN Level 1 visit with a lab draw like a PT/INR and if so what critieria needs to be met?

sullivak 06-10-2013 05:35 PM

There needs to be a separate and identifiable E/M service. So that means there needs to be medical necessity for a nursing visit beyond just getting their labs drawn. Perhaps the patient comes in with a concern about a skin lesion, and the nurse examines the area. There's an e/m service.

mitchellde 06-10-2013 05:42 PM

A nurse cannot examine a new problem for the patient and charge a level of care. A nurse (RN, LPN), may only follow the providers orders from a previous encounter and there must be a provider in the office at the time of the visit. You may not use a 99211 for a blood collection encounter, there are unique CPT code especially for this service.

sullivak 06-10-2013 05:49 PM

Thanks for pointing that out, Debra. I was sloppy when I came up with that example.

swilliams2 06-11-2013 08:08 AM

I agree that you can not bill a 99211 for blood collection. But I do believe it CAN BE appropriate to bill a 99211 and also collect blood for a PT/INR at the same time. It is quite common for offices to have PT clinics where nurses are following orders provided by and supervised by a physician. If documented well, you can definetly get paid for the work being done.

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