Can anyone tell me if a nurse practitioner billing "Incident To" can see pediatric patients for their annual well checks? When the patient comes in for the well check, they have a new complaint such as ear pain. Upon the exam by the APN, the pt is found to have otitis media and is prescribed antibiotics. If their is only 1 note and the supervising physician did not see the patient, just signed off as being present in the suite during the visit, should we just be billing for the well check? Or should the supervising physician go in to the room and address the ear problem and prescribe the meds? How would we handle this situation?