I would like some clarification if I am understanding the use of 99211 correctly.
If billing 99211 as an 'incident to' the patient has to be established and have seen the provider previously for what they are coming back in for. There must be an order from the provider for this follow up. This order should be in patient chart for the coder to view.
If a patient is in another part of the clinic that is not medical, and it is determined the patient has high blood pressure and is sent to medical for evaluation of the blood pressure, a nurse sees patient and documents a discussion with the doctor about blood pressure this would be a 99211? It does not have to follow the 'incident to' rules? What if there is no documentation of a doctor discussion? This patient was not asked by the doctor to have a follow up on blood pressure.
Or are all nurse visits considered 'incident to'?
I've looked at a lot of articles already and would like some clarification. Thanks.
If billing 99211 as an 'incident to' the patient has to be established and have seen the provider previously for what they are coming back in for. There must be an order from the provider for this follow up. This order should be in patient chart for the coder to view.
If a patient is in another part of the clinic that is not medical, and it is determined the patient has high blood pressure and is sent to medical for evaluation of the blood pressure, a nurse sees patient and documents a discussion with the doctor about blood pressure this would be a 99211? It does not have to follow the 'incident to' rules? What if there is no documentation of a doctor discussion? This patient was not asked by the doctor to have a follow up on blood pressure.
Or are all nurse visits considered 'incident to'?
I've looked at a lot of articles already and would like some clarification. Thanks.