tci Part B Insider - 2011 Issue 30

99211 Coding Quiz: Can You Identify Which of These Quick-Visit Services Qualify for 99211?

Hint: You can't automatically tack 99211 on to every service just because the nurse was present. Most practices agree that 99211 is a ubiquitous code, reported nearly every day for visits ranging from blood pressure checks to medication updates. But the so-called "nurse visit" code may not always be appropriate. Many MACs are scrutinizing these claims and targeting them as "areas of concern," as WPS Medicare did this past April. Check out these common clinical scenarios and determine whether 99211 is appropriate for the circumstances. Know Whether 99211 Applies to X-Rays Question 1: A patient comes to see...

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