tci General Surgery Coding Alert - 2023 Issue Q2

You Be the Coder: Avoid 99211 for New Patient

Question: I’ve been told I should use 99211 for a nurse’s time with a new patient in our practice. Is that correct? South Carolina Subscriber Answer: No, you should not 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) for an office visit performed entirely by a nurse for a new patient. First, the code descriptor specifies that the code is for an established patient. You should report a new patient visit with a code...

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