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99212 vs 99211

Town & Country Pediatrics & Posted Sat 08th of March, 2014 23:45:13 PM

Patient came in and was seen by the medical assistant for a blood pressure check. Then the doctor adjusted the patient's medication based on the blood pressure results provided by the medical assistant. The doctor did not have any face-to-face time with the patient. Can we bill '99212' here or only '99211'?

SuperCoder Answered Tue 11th of March, 2014 06:22:13 AM

In the office setting, you could probably get by with the 99212 because of the “incident to” provision, even without the face-to face visit as long as the history and MDM were recorded in the chart documentation. The safer bet is the 99211.

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