Is CPT code 99211 billable?
Code 99211 must be billed as if the supervising provider personally performed the service. Documentation should specify: the identity and credentials of the supervising physician and the staff that provided the service. the degree of the physician’s involvement.
What is the reimbursement for 99211?
Reporting 99211 can bring additional revenue into your practice. Specific payment amounts will vary by payer, but the average unadjusted 2004 payment from Medicare for a 99211 service is $21. This means that only five 99211 encounters with Medicare patients in a week will result in over $5,000 per year for a practice.
Who can use CPT 99211?
Physicians
Physicians can report 99211, but it is intended to report services rendered by other individuals in the practice, such as a nurse or other staff member. Unlike other office visit E/M codes, a 99211 office visit does not have any specific key-component documentation requirements.
Can a medical assistant bill for a 99211?
A: The 99211 E/M visit is a nurse visit and should be used only by a medical assistant or a nurse when performing services such as wound checks, dressing changes or suture removal. CPT code 99211 should never be billed for physician, physician assistant or nurse practitioner services.
What does Procedure Code 99211 stand for?
CPT code 99211© is used to report a low-level Evaluation and Management (E/M) service. The CPT book defines code 99211 as: “Office or other outpatient visits for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem (s) are minimal.
When to use 99211?
Use code 99211 when the symptoms are mild and an ancillary of the physician is evaluating and managing. The primary use of 99211 CPT code is for staff in relation to the physician, not the physician themselves.
Who qualifies to charge for a 99211?
You use 99211 if clinical staff members perform the face-to-face visit under the supervision of the physician or other qualified healthcare professional. A shared or split visit is when a physician and one or more other qualified healthcare professionals perform the face-to-face and non-face-to-face work for the E/M visit.
When to Bill 99211?
time. If CPT code 99211 was billed with a drug injection code, the carrier paid only for 99211. Physicians providing both chemotherapy administration services and evaluation and management services on the same day prior to January 1, 2004 usually billed the evaluation and management service with no modifier. B. Policy: