tci E/M Coding Alert - 2021 Issue Q4

You Be the Coder: Triaging a Patient May Not Qualify as E/M Service

Question: We have been getting calls from patients who have tested positive for COVID-19 and who want an order to go to the local hospital to receive a REGEN-COV (casirivimab and imdevimab, administered together) infusion. If the nurse triages the patient, can we charge a telephone visit for that, or does our nurse practitioner (NP) have to talk to the patient first? Tennessee Subscriber Answer: To bill 99441-99443 (Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian …)...

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