Appropriate Use of CPT Code 99211 in 2025

CPT Code 99211 is defined (by the American Medical Association’s CPT Manual) as an evaluation and management (E/M) service for an established patient that may not require the presence of a physician or other qualified healthcare professional.  CPT Code 99211 remains one of the most misunderstood and misrepresented services in all of CPT Coding.  One of the key requirements is that the encounter must be directed by a physician/QHCP and include actual evaluation and management.  CPT Code 99211 should not be reported for telephone calls, injection visits, blood pressure checks, lab draws, etc. Although the physician does not have to “personally” evaluate the patient, direct supervision of ancillary clinical staff is required for billing purposes.  In this session, our expert speaker will discuss the appropriate use and application of CPT Code 99211 in 2025, clinical documentation requirements, who can render 99211, redline 99211 case studies together, highlight best practices, and so much more.

Webinar Objectives

This webinar will cover the appropriate use and application of CPT Code 99211 in 2025, clinical documentation requirements for 99211, describe the types of professionals that can render 99211, discuss what services do not qualify for reporting 99211, dissect some case studies together, and so much more!

Webinar Agenda

• Understand the appropriate application for CPT Code 99211 in 2025
• Recall the clinical documentation requirements for CPT Code 99211
• Recognize the types of healthcare professionals that can render CPT Code 99211
• Recall various types of services that do justify billing for CPT Code 99211
• Recognize various types of services that do NOT justify billing for CPT Code 99211
• Understand relevant use cases for CPT Code 99211

Webinar Highlights

• Outline the appropriate use and application for CPT Code 99211 in 2025
• Review the clinical documentation requirements for CPT Code 99211 in 2025
• Discuss the types of healthcare professionals that can render CPT Code 99211 in 2025
• Review the supervision requirements for CPT Code 99211 in 2025
• Deconstruct the concept of ‘incident to’ billing as it pertains to CPT Code 99211
• Review relevant case studies that showcase inappropriate use of CPT Code 99211
• Review relevant case studies that showcase appropriate use of CPT Code 99211
• Outline best practices for compliantly supporting CPT Code 99211

Who Should Attend

• Medical Coding Specialists
• Medical Billing Specialists
• Medical Auditing Specialists
• Private Practice Physicians
• Managed Care Professionals
• Operations Leadership
• Practice Administrators
• Office Managers
• Compliance Officers/Committees  
• Chief Medical Officer

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