Wiki 99211..please help

[Sandra Fender]

I keep being asking by my office managers if we can bill a 99211 for a rapid strep test done by an M? This is all that was done. According to the CPT book "E/M services may also be reported by other qualitied health care professionals who are authorized to perform such services within the scope of their practice' I always thought they atleast had to be a nurse.

Any help would be very welcome...

 

[cheermom68]

99211

If all they are doing is a rapid strep than the only thing they should be billing is the CPT for the test itself not a 99211.

Also, this scenario would not meet incident to guidelines since it would be an acute visit.

LeeAnn

 

[Sandra Fender]

Thank you!

 

[sec5188]

I agree, I don't see any reason for billing the 99211. Only bill for the test itself.