Forum - Questions & Answers

Dec 2nd, 2016 - chuzanna

Provider Based entity-99211

Can you bill 99211 CPT® for an hospital based clinic? Please state rule

Jan 2nd, 2018 - ChrisW   256  1 

Incorrect Section

99211 is found in the Office or other outpatient services section. Verify which section you should be coding from. AMA guidelines state when using Office or Other Outpatient Services such as 99211, " The following codes are used to report evaluation and management services provided in the office or in an outpatient or other ambulatory facility. A patient is considered an outpatient until inpatient admission to a health care facility occurs."

Code(s) Description
99201 ‑ 99215 Office or Other Outpatient Services
99217 ‑ 99226 Hospital Observation Services
99221 ‑ 99239 Hospital Inpatient Services
99241 ‑ 99255 Consultations
99281 ‑ 99288 Emergency Department Services



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