tci General Surgery Coding Alert - 2004 Issue 7

Debunk the 99211 Myth - It's Not Just for Nurses

If a visit warrants 99211, you can recoup an additional $20 or more You can report 99211 with confidence as long as you apply the code only when the practitioner provides a medically necessary service to an established patient. Remember: Although 99211 is often called the "nurse's code," surgeons and other personnel should report 99211 if an E/M visit doesn't meet the documentation requirements of the higher-level E/M codes (99212-99215).Coding experts recommend that you report 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of...

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