Resolved 99214 question

[JuliaM_43376]

In our practice we have a dietician that does group diabetic education for 1 1/2 hours and immediately after the session a nurse practitioner sees the patients individually for about 5 minutes to review medications and maybe a brief exam. She documents that the patient attended 1 1/2 hours of education and her review of medications and makes recommendations for medication changes and documents diagnosis or multiple diagnoses and then codes it as a 99214. Is a 99214 correct? I really don’t know how to code for these services. The dietitian does not bill individually, he bills under the nurse practitioner

 

[Alicia]

If you are using MDM this can be done based on number of diagnoses and changes to POC. I wouldn't base on time for the NP and the dietician is doing different work.

It sounds like the dietician is being paid by the NP?
Here is a link that might give you insight.

MNT and DSMT Coverage and Billing Requirements

www.novitas-solutions.com