Wiki Can you charge a nurse visit for med refills?

[acreekmore]

I was ask a question today by another doctors office about billing for refills of medications. They are charging a nurse visit (99211) for the nurse refilling a patients meds. Vitals are not taken. From my understanding all that is done is the patient will show up at the window and the meds are refilled then the pt or the pt's insurance is charged. Is that correct? I didn't think that just refilling a med would warrent a nurse visit.

 

[SherryMiller]

We would not charge for this service.

 

[RebeccaWoodward*]

I agree. The scenario you described would not be appropriate for reporting 99211. The AAFP has a good article that reiterates this.

http://www.aafp.org/fpm/2004/0600/p32.html

 

[donnat]

What about charging a 99211 code for a protime check 85610 and what criteria do we need to follow if that is OK to code like that.

Any help is greatly appreciated.

Thanks

 

[coding4fun]

Pt/inr

Good morning,

I work in an Internal Medicine practice and we charge 99211 + 85610 if we do the PT/INR blood draw. Our NP draws the blood and reviews any med changes, prior tests results and discusses this with the pt. Our doc signs off on this for documentation purposes. If just blood draw then only 85610 is charged.