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Question:

Can 99211 be billed when patient came in to pick up his/her medication script?

Answer:

The answer is no, according to CMS following situations do not qualify for billing of 99211:

  • Prescription refill (e.g., the physician called in a refill at the pharmacy or the pharmacy called to obtain a renewal on the prescription).
  • A new prescription was written and no other E&M service was performed
  • The patient changes insurance companies and needs all-new prescriptions for the new mail-order pharmacy. The physician has the patient present to the office the nurse who prepares the new prescription (either paper or electronic) for the physician’s review/signature. In this instance, billing 99211 is not appropriate.
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Insights
November 2018