Loni Posted Thu 10th of October, 2019 14:49:28 PM
If clinical staff, such as a medical assistant removes a foreign body from the patient's ear, can 69200 be billed, or would a physician, nurse practitioner or PA have to perform the service? If a physician or non physician provider doesn't perform the service, what should be billed?
SuperCoder Answered Fri 11th of October, 2019 07:18:54 AM
A medical assistant works alongside physicians and assists the physician but cannot perform procedure of a physician independently.
The procedure of removing a foreign body from the ear (CPT code 69200) should only be performed by the physician. It is outside the scope of a medical assistant. Hence it cannot be performed by a medical assistant independently.
Please find below link for roles and responsibilities of a medical assistant.
Please feel free to write if you have any question.
Loni Posted Fri 11th of October, 2019 09:01:04 AM
Thank you for your prompt response. Could this service be billed as a "nurse visit" with 99211?
SuperCoder Answered Mon 14th of October, 2019 09:30:23 AM
E/M code may be reported when there is no CPT code for the minor procedure. But since we have a definite code (69200) for foreign body removal from the ear, we cannot report E/M code for this and as this procedure was performed by a medical assistant, you should not report this as well.
For more clarification, we advise you to contact the insurance executive and ask them in what way they may pay this.
Hope this helps.