toshadiane
Guest
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Wiki Bundling nurse visit w/ pregnancy test?
- Thread starter toshadiane
- Start date
missy874
Guru
We never bill nurse visits with a UA pregnancy screen. If they are not doing anything else for the patient, the work is already included in the 81025.
mitchellde
True Blue
In addition you do not meet the provisions to be able to bill the 99211 for a nurse to be the only provider for the patient. It must meet the incident to provisions and it will not.
toshadiane
Guest
The office visit was for a depo injection and there was a longer than normal time period between injections.
mitchellde
True Blue
I am not sure what you mean, you said first a 99211 and pg test was there a depo shot also? if so you use injection admin you still do not use a 99211, or am I not understanding the issue?
toshadiane
Guest
The nurse visit initially was for the depo injection, but because there it was longer than normal between injections there was a pregnancy test. The claim was submitted with a nurse visit, injection, and pregnancy test. They denied the nurse visit portion of the claim. Is that because both the injection and pregnancy have the nurse visit built into them? Thanks everyone?
missy874
Guru
yes every procedure has some "evaluation and management" work built into the RVU...that includes injections and I would say UAs.... There is no extra work involved in taking a UA that isnt covered by the UA charge itself.