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...

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