Trailblazer/Medicare has issued out specific guidelines on what supports 99211 in addition to the 85610. Baisically there must be separate work above and beyond the work already included/reported with 85610. If so, then the 99211-25 can be coded to capture/report this separate work. Here is a paste of the specific guideline
The table below contains elements that would constitute adequate documentation of a code 99211 service in selected clinical circumstances:
Adequate Documentation for Code 99211
Prothrombin time evaluation for patients on chronic warfarin anticoagulation
1. Reason for the visit. A physician visit is not routinely necessary to draw blood for prothrombin time or other laboratory tests. Therefore, the documentation for code 99211 or any other E/M code in this circumstance must demonstrate a need for clinical E/M. In this case, services that would serve to demonstrate that E/M was performed include an evaluation of significant new symptoms (such as excessive bruising or hemorrhage). Alternatively, for patients who have no new clinical concerns, documentation that contemporaneous laboratory values were obtained, reviewed and used to guide current and/or future therapy documents that a separately payable E/M service has been performed.
2. Current medications listed (with notation of level of compliance).
3. Indication of doctor's evaluation of the information about signs/symptoms and laboratory test result and his management recommendation.
4. Identity and credentials of provider(s) as listed in text above.