cwestman
Networker
Hoping somene can help
When patients are prescribed high risk medication such as suboxone,fentanyl,or other opiates it is common practice to have those pt come in for random pill counts,presumptive urine test and or send out urine.
Typically a lot of of work goes into the visit such as supervision of sample given(suboxne pt) reviewing med list for compliance,updating Narcotic agreements by confirming or updating pharmacy information, reviweing results of urine test with Provider and queing presciption to provider (MDM),documenting patients responce to medication,such as breakthrough pain,or symptoms of withdrawal. The Nurse visits are scheulded inbetween visits with the Proivder ,which I feel is an extensin of the Providers care ,perhpas even an "Incident To"
Currently we only use the lab code 80305 for the urine as the office manager feels that is all that should be coded.When I look at the critera for 99211 I honestly feel these Nurse visits should be more than just the presumptve lab and feel we could use both the 99211 and the 80305(wen performed)however I'm new at coding and a little reluctant to rock the boat without knowing for sure
Very much appreciate help from those in the know
When patients are prescribed high risk medication such as suboxone,fentanyl,or other opiates it is common practice to have those pt come in for random pill counts,presumptive urine test and or send out urine.
Typically a lot of of work goes into the visit such as supervision of sample given(suboxne pt) reviewing med list for compliance,updating Narcotic agreements by confirming or updating pharmacy information, reviweing results of urine test with Provider and queing presciption to provider (MDM),documenting patients responce to medication,such as breakthrough pain,or symptoms of withdrawal. The Nurse visits are scheulded inbetween visits with the Proivder ,which I feel is an extensin of the Providers care ,perhpas even an "Incident To"
Currently we only use the lab code 80305 for the urine as the office manager feels that is all that should be coded.When I look at the critera for 99211 I honestly feel these Nurse visits should be more than just the presumptve lab and feel we could use both the 99211 and the 80305(wen performed)however I'm new at coding and a little reluctant to rock the boat without knowing for sure
Very much appreciate help from those in the know