Billing CPT code 99211

Written by Reed Tinsley | June 2, 2008

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.

About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.

Have questions? I’m here to help.