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Insulin teaching

Zakari Posted Tue 05th of June, 2012 15:41:30 PM

What is the cpt code for insulin teaching in an office visit? The pt had ekg also. Thank you.

SuperCoder Answered Tue 05th of June, 2012 17:06:31 PM

A nurse, non-physician practitioner (NPP), or physician might instruct the patient. If the patient comes to your office only for instruction by a nurse, report 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem[s] are minimal. Typically, 5 minutes are spent performing or supervising these services). If the physician or NPP instructs the patient during an office visit, the appropriate E/M service code includes the education. The same holds true if the physician sees the patient, prescribes the Insulin and education during the visit, and the nurse provides the instruction "the E/ M code includes everything.

When selecting the E/M code, choose the appropriate option from 99211-99215 (Office or other outpatient visit for the evaluation and management of an established patient ...). Remember that the time spent counseling can help determine the E/M code level if the physician or NPP spends 50 percent or more of the time training the patient and counseling on the appropriate use of the medication.

Example: A patient comes to your office for a follow-up visit. The physician spends 45 minutes with the patient (15 minutes taking the patient's history and discussing prognosis and a plan of care including Imitrex administration; 30 minutes on a detailed explanation of how and when to use the medication and showing the patient the correct injection technique). Because the physician spent more than half the time on training and instruction, you could report the higher-level E/M code 99215.

Zakari Posted Thu 07th of June, 2012 16:45:18 PM

Thank you

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