Billing CPT code 99211

Many coders don’t realize that they can bill 99211 to report services that clinical staff other than the nurse provides. Any qualified “auxillary personnel” who are the physician’s employees (ex. medical assistants, licensed practical nurses, technicians, and other aids) and are working under the physician’s direct supervision can provide services to patients under the incident-to umbrella using 99211 and can report 99211 as long as the patient visit meets the medical-necessity requirement for billing an E/M code.

Here’s a typical example: The physician sees a patient for a blood pressure check but doesn’t perform an in-depth E/M service. If the visit doesn’t qualify for 99212, you can bill 99211.

Have questions? I’m here to help.

Categories
Accounting and Tax Services Litigation Support Managed Care Consulting Managed Care Contract Negotiations Medical Practice and Healthcare Entity Valuation Medical Practice Assessment Medical Practice Brokerage Medical Practice Embezzlement Consulting Medical Practice Management Medical Practice Merger Advice Medical Strategic Planning Newsletter Personal Financial Planning Oversight Physician Compensation Models Physician Compliance Physician Financial Management Services Retirement Uncategorized
About Reed Tinsley, CPA

As a top advisor to physicians, I help increase practice profits by delivering hands-on, expert medical accounting/tax support, practice counsel, and revenue-building strategies. Read More >

Reed Tinsley, CPA for Physicians