BC Advantage - 2018 Issue 11

Billing 99211 Its not a freebie

It seems like a simple code to bill, but CPT 99211 (established patient office visit) is by no means a freebie when it comes to documentation and compliance. This lowest level office visit code is sometimes called a "nurse visit" because CPT does not require that a physician be present for an encounter that is billed with 99211. Even so, 99211 does require key components and documentation. In this tip, we'll take a look at 99211 and some of the reasons it gets billed without proper documentation or, in some cases, billed when no code is actually billable...

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