What does CPT code 99211 mean?

What does CPT code 99211 mean?

Code 99211 is commonly used for services such as patient education, simple rechecks and medication reviews. Some procedures can also appropriately be reported with this code. A patient comes to the office for a blood-pressure check. If the visit was scheduled at the request of the physician, 99211 should be reported.

Is 99211 still a valid CPT code in 2021?

CPT code 99211 (established patient, level 1) will remain as a reportable service.

What are the requirements to bill a 99211?

Six keys to coding 99211 visits

• The patient must be established.
• The provider-patient encounter must be face-to-face.
• An E/M service must be provided.
• The service must be separate from other services performed on the same day.
• The presence of a physician is not always required.
• No key components are required.

How many minutes is CPT 99211?

Code 99211 is defined as an office or other outpatient visit for an established patient “that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, five minutes are spent performing or supervising these services.”

Does Medicare pay for 99211?

Does Medicare Approve 99211? Yes, Medicare considers this routine. If you are an approved Medicare provider you can bill this code.

What services can be billed with 99211?

Proper Use of 99211 CPT® code 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional.

What replaced 99211?

For existing patients, the time element was removed from CPT code 99211. For CPT code 99212, time for the encounter will be 10–19 minutes. Tenminute increments are used for codes 99213 and 99214. CPT code 99215 has a 15-minute time frame and is utilized for exams 40–54 minutes in duration.

Who can use CPT 99211?

CPT Code 99211: Evaluation and Management Description This code can be used by an ancillary of the client’s psychiatrist and billed as if the psychiatrist were performing to visit. Be careful to state the relationship between the provider of the service and the psychiatrist, otherwise the claim may be denied.

Does 99211 require physician signature?

A “nurse visit” (CPT code 99211) is considered an “incident to service” if the requirements are met; therefore, the physician/nonphysician practitioner who is supervising must sign the documentation.

Can a doctor Bill 99211?

Physicians generally should not use a 99211 code for their own services, but it may be appropriate for office services performed by a nurse. To support the 99211 code for a nursing visit, a practice must have sufficient documentation.

Is 99211 covered by Medicare?

99211 Reimbursement Rates Medicare will reimburse for this code at $23.03 by Medicare in 2021.

Is 99211 a billable code?

Using code 99211 to bill an ‘incident to’ service When Code 99211 is billed as an “incident to” service, the physician’s service may be performed by ancillary staff and billed as if the physician personally performed the service.