tci E/M Coding Alert - 2022 Issue Q4

Reader Questions: Understand ‘QHP’ Acronym to Code These Encounters

Question: Should I be reporting all services performed by a nurse, including those provided to new patients, with 99211? Ohio Subscriber Answer: While 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) does not require history, exam, medical decision making (MDM) or the presence of a physician, automatically reporting services provided by a nurse with 99211 is not correct and could result in audits and revenue loss for your practice. First, take a look at the code descriptor...

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