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Coding Corner Question

From the College  |  Issue: July 2008  |  July 1, 2008

Determine which of the following scenarios correctly uses the CPT code 99211:

Scenario 1: A 65-year-old female patient with RA returns to the office to have the nurse read her tuberculosis skin test. The nurse reviews the report and goes over the result with the patient. There is a physician on site supervising the nurse.

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The practice coded this visit as 99211, 86580, with a diagnosis code of 714.0.

Scenario 2: A 65-year-old female patient with RA returns to the office for her therapeutic gold injection. The nurse performs a complete blood count, platelet count, and urine dip labs to determine if it is safe to give the patient the gold injection. The nurse briefly goes over history to verify if there was any reaction from past injections. After reviewing test results from the lab work, which are found to be normal, the nurse gives the patient a gold injection.

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The practice coded this visit as 99211, 90772, J1600, 85025, 85032, 81000, with a diagnosis code of 714.0.

Scenario 3: A 65-year-old female patient with RA calls the nurse with questions concerning her medication. The nurse spends 10 minutes going over drug reactions and dosage information with the patient.

The practice coded this visit as 99211, with a diagnosis code of 714.0.

Which scenario was coded correctly?

Click here for the answer.

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Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:BillingCodingTuberculosis

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