E/M Code 99211
This article appeared previously in The LINK.
Prior to 1998, 99211 was the most under used code in this country. This is no longer the case. Many physician offices are using this code commonly referred to as a ‘nurses visit’. Many insurance carriers are watching this code. Before entering this code on the claim form be sure the documentation is correct. Common problems with the documentation are no chief complaint, no review of systems, or no plan of treatment. In some cases, medical necessity is not even established.
Documentation for the 99211 should include the rationale for ordering tests, past and present diagnoses, health risk factors, patient’s progress and response to treatment, any changes in the treatment plan, and revision of diagnosis.
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