tci Part B Insider - 2014 Issue 30

Coding Quiz: Can You Spot Which 99211 Rules Are Accurate?

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 attempting to clarify when 99211 is appropriate and when it isn’t, as Part B MAC Cahaba GBA did this past June. Check out these common clinical scenarios and determine whether 99211 is appropriate for the circumstances. Know Whether 99211...

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