tci Part B Insider - 2015 Issue 33

Reader Question: Routine Additions of 99211 Are Bad Idea

Question: Our practice’s physicians want to report 99211 with 85610 for prothrombin time checks and with lipid panel code 80061. Are we allowed to bill both codes together? Answer: Practices 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...

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