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tci E/M Coding Alert - 2017 Issue 4

99211: Follow These 3 Rules to Ace 99211

Here’s why you never report 99211 for a new patient. Whether you’ve been an evaluation and management (E/M) coder for a while or you’re new to the coding profession, you have probably encountered an often-misunderstood code — 99211. Code 99211 (Office or other outpatient visitfor 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 …), sometimes referred to as the “nurse visit” code, isn&rsquo...

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