tci E/M Coding Alert - 2022 Issue Q2

Back to Basics: Clear the Confusion Surrounding 99211

You cannot provide incident-to services to a new patient. Although the major changes surrounding office/outpatient evaluation and management (E/M) codes, which went into effect in the beginning of 2021, are now familiar, there may still be some air to clear. Code 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.) is still the root of a lot of coders’ confusion, especially because its code descriptor was revised again at the beginning...

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