tci E/M Coding Alert - 2014 Issue 7

You Be the Coder: Consider the Need to Administer Medication When Coding 99211

Question: We have a patient in our practice that comes in for her prothrombin time (PT) test and her B12 shot at the same time.  The doctor looks over the PT results and instructs the patient.  We bill a 99211 and 85610 with modifier QW for the prothrombin time and also a 96372 and J3420 for the B12.  Medicare will not pay for the 99211 and the 96372.  Am I coding incorrectly? Illinois Subscriber  Answer: Part of your coding is incorrect if the physician is only reviewing the PT results to determine if the therapy...

To read the full article, sign in and subscribe to tci E/M Coding Alert.

Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!