tci E/M Coding Alert - 2016 Issue 1

Reader Question: Routine 99211s Will Land You in Hot Water

Question: My doctor heard we can report 99211 with 85610 for prothrombin time checks and with lipid panel code 80061. Is reporting the 99211 correct? Wyoming Subscriber Answer: You should avoid routinely reporting 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem[s] are minimal. Typically, 5 minutes are spent performing or supervising these services.) with prothrombin time and lipid panel tests. A nurse may have a standard list of questions she asks the...

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