Notes contain a short message, "Patient did not see provider" and some other stuff about lab results or medication adjustment or that they ordered an injection. Can they bill for 99211? The PA entered the E/M code themselves, if that helps. lol TIA
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Tag Archives: 99211
99211 when patient left before being seen by provider
I work in an urgent care/primary care setting. We have standing triage orders based off complaints so x-rays and labs are ordered by an MA (usually) before the providers see patients. Sometimes the patients leave after having x-rays or labs but before the providers seen the patient. I am under the impression you cannot bill an E&M for these visits but others say to go with a 99211. We don’t bill "incident to" really. Our claims are filed under the extenders’ names and numbers with the supervising provider as the co-signer.
Is the 99211 appropriate? Where can I find the supporting documentation?
Thanks!!!!!
billing for a 99211 with 80307 in a pain clinic
Hi, I posted this in a different forum, and although there many views, there were no responses. This may be a very basic question for some, but I need some advice. Thank you all.
Hoping for clarification. We have patients enrolled in a pain management program that come in once a month. Sometimes the patient comes in and the MA takes vitals, asks the patient how the pain is, are there any problems with the current medication, takes the patient to rest room so the patient can give the urine sample, collects the sample and forwards to our in house lab . The patient does not see the physician. Can we bill a 99211 and the 80307? I am new to this and want to make sure we are billing correctly. Thank you in advance.
billing for a 99211 with 80307 in a pain clinic
Hoping for clarification. We have patients enrolled in a pain management program that come in once a month. Sometimes the patient comes in and the MA takes vitals, asks the patient how the pain is, are there any problems with the current medication, takes the patient to rest room so the patient can give the urine sample, collects the sample and forwards to our in house lab . The patient does not see the physician. Can we bill a 99211 and the 80307? I am new to this and want to make sure we are billing correctly. Thank you in advance.
99211 with 93284
Verifying the appropriateness of billing a 99211 with 93284; Patient is seen by MA, no BP done, brief HPI and statement that 93284 was performed. No other details. No report for the 93284 and no signature by MD.
I realize the 99211 would require a mod 25, but is this an appropriate usage of 99211? It seems the 93284 requires the presence of the MD. There are no CCI edits for this code pair. Please advise. Thanks.
I realize the 99211 would require a mod 25, but is this an appropriate usage of 99211? It seems the 93284 requires the presence of the MD. There are no CCI edits for this code pair. Please advise. Thanks.
99211 vs 99212 for Procedures
My practice management system automatically defaults to the 99211 for procedures, when is it appropriate to change that code to a 99212?