Don't miss out on legitimate opportunities to report 99211. If you do, you could be costing your dermatology practice precious income of about $15 to $25 per patient. Scenario 1:
Scenario 2:
A 9-year-old established patient gets a successful treatment for impetigo. The dermatologist's assistant then prepares a release-to-return-to-school document for the patient during a face-to-face encounter.The assistant documents that an evaluation has been performed previously by the dermatologist. For this service, you may report 99211.
Awkward Situations Tell You 99211 Is a No-No
Meanwhile, you must not report 99211 on the following situations because they do not meet the code's requirements:
• A staff member gives an injection or takes specimen samples ordered by the dermatologist. These services have their own RVUs for physician and staff involvement.
• A nurse routinely documents a patient's history and vital signs as part of a drug administration encounter. Similar to the rationale of the previous example, the procedure would be a component of drug administration codes.
• A dermatologist's assistant calls a patient on the phone to inform him of E/M results and give further medical instructions after the patient has left the dermatologist's office. Keep in mind that a face-to-face E/M service is key to coding 99211.