tci Outpatient Facility Coding Alert - 2015 Issue 9

You Be the Coder: Know How to Bill the "Nurse Visit"

Question: What behavioral health codes can a nurse bill? Can she bill for 99212, 99213, 99214, or 99215 for her time or are those codes only for the doctor’s time with the patient? Also, can we bill for the nurse administering injections Colorado Subscriber Answer: In the office setting, an RN cannot bill for a 99213-99215, even under the physician’s NPI. RN’s can 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. Usually, the presenting...

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