tci E/M Coding Alert - 2021 Issue Q4

Reader Questions: Follow These Dos and Don’ts of Billing 99211

Question: What are the minimum documentation requirements needed to bill 99211? What has to happen in a 99211 encounter in order for me to bill it? AAPC Forum Participant Answer: Part of the confusion surrounding 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.) lies in the fact that, unlike all the other office and outpatient evaluation and management (E/M) codes, 99211 has no medical decision making (MDM) level requirements. The...

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