99211

This refers to the clarification surrounding a specific Current Procedural Terminology (CPT) code. This code, 99211, represents a level one established patient office or other outpatient visit. This type of visit typically involves minimal physician work and may not require the presence of a physician at all, often being handled by qualified healthcare professionals such as nurses.

Understanding the parameters of this code is crucial for accurate medical billing and coding. Correct application ensures appropriate reimbursement for services rendered and helps to avoid claim denials or audits. Historically, proper use has evolved alongside changes in healthcare delivery models and the increasing role of non-physician providers in patient care.

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The service designated by this alphanumeric identifier represents a straightforward, typically brief evaluation and management encounter. This often involves an established patient presenting with a minimal problem that may not necessitate the physician’s direct involvement. A registered nurse or other qualified healthcare professional often handles these visits, following established protocols. Examples might include blood pressure checks, simple dressing changes, or medication refills when the patient’s condition is stable and pre-approved by the physician.

Accurate application of this identifier is crucial for appropriate reimbursement and healthcare data collection. It allows practices to account for all rendered services, even those not requiring extensive physician time. Historically, this code has evolved alongside changes in healthcare delivery models, reflecting the increasing role of allied health professionals in managing routine patient needs. Proper utilization contributes to a more efficient healthcare system, allowing physicians to focus on more complex cases.

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