tci Part B Insider - 2004 Issue 28

Part B Insider Coding Coach: Don't Sacrifice $22 Per Nurse Visit - Know When To Report 99211

Proper documentation is the key to nurse-visit codingA "nurse-only" visit may seem simple, but many practices shy away from reporting these visits because they don't know the three basic requirements for a 99211: A valid E/M service, medical necessity and an established patient. Familiarize yourself with these requirements and you won't have to forfeit the $22 this code brings. The key to 99211 success is applying the code only when the practitioner provides a medically necessary service to an established patient and the practitioner has the training or necessary credentials to perform the service according to state and payer...

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