tci E/M Coding Alert - 2015 Issue 2

Reader Question: Choose 99211 When an NPP Performs a Service

Question: A pediatrician in my practice ordered a mother to return with her child for follow-up visit on his tuberculosis test. An NPP checks the immunization site and records her observation. How should I code the service? Utah Subscriber Answer: You should report a code from the 99211-99215 (Office or other outpatient visit for the evaluation and management of an established patient ...) range, depending of which level of service your non-physician practitioner’s (NPP’s) documentation supports.  You can submit the office visit code under the physician’s name and national provider identifier (NPI) as long as...

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