Author Topic: Billing 99212 under doctor's NPI when nurse provided service  (Read 925 times)

mpl

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Billing 99212 under doctor's NPI when nurse provided service
« on: January 07, 2019, 07:12:21 PM »
I have an MD that provides medication assisted treatment (Suboxone, specifically) for substance abuse. For a typical follow up visit, she bills for an office visit (CPT 99213 or 99214) and a urine drug screen. She was recently out of the office for a week, but patients still needed to come in for drug screens, which were done by the nurse on staff.
I've received the provider's charge sheet for the week she was gone, and she's requesting that I bill for the drug screens, but also for CPT 99212. I questioned her on that, since she didn't actually see the patients. She stated that they were nurse visits.
I'm not a coder, but from everything I've read online, it seems like she should be using 99211 if the nurse was the one who conducted the office visit. But I'm not confident about this. Does anyone have any feedback on this? Thanks!!

kristin

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Re: Billing 99212 under doctor's NPI when nurse provided service
« Reply #1 on: January 07, 2019, 08:13:08 PM »
You are correct, you cannot bill a 99212 for an RN. If in fact the only service being provided is the drug screen, that is all you can bill for, and not even a 99211. It is the same situation as a nurse giving a flu shot, or doing an INR, or something similar. The 99211 is not separately reimbursable.

mpl

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Re: Billing 99212 under doctor's NPI when nurse provided service
« Reply #2 on: January 09, 2019, 02:30:01 PM »
Thank you for your help!

Medical Billing Forum

Re: Billing 99212 under doctor's NPI when nurse provided service
« Reply #2 on: January 09, 2019, 02:30:01 PM »