decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 3 (March)
99211 OK for PPD test read
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Article Overview
This short article addresses common billing questions around tuberculosis purified protein derivative (PPD) testing in the office setting. It summarizes guidance from CMS and CPT Assistant on when a nurse visit may be reported as an evaluation and management service, and it notes Medicare bundling guidance affecting the test administration workflow. The piece is aimed at coders, billers, and practice staff who handle office-based preventive and screening services.
Why This Topic Matters
Tuberculosis skin testing is common in outpatient practice, and billing the reading and administration correctly affects compliance and reimbursement. The article is relevant to those working with Medicare rules, incident-to billing, and payer bundling edits.
What You Will Learn
- How this article frames coding questions for tuberculosis skin test reading visits
- What general Medicare and CPT Assistant guidance is discussed
- How the article relates office visit billing to test administration and bundling considerations
- Which types of billing issues are involved when a PPD test is performed in the office
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Outpatient practice managers
- Nursing staff involved in office services
Codes Discussed
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