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tci E/M Coding Alert - 2017 Issue 5

99211: Adhere to These Additional Rules for 99211 Success

Don’t mix up 99211 with 99212. Last month, we saw how you can ace your 99211 coding by knowing who can appropriately use the code, always applying incident-to rules, and just reporting 99211 for established patients. Although it’s frequently misused, there’s no reason why you can’t effectively report 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services &hellip...

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