What is a commonly misreported E/M code for a nurse visit?

Get ready for the AAPC Certified Professional Medical Auditor Test. Enhance your skills with multiple choice questions, each designed to provide thorough explanations. Excel in your exam preparation!

The correct choice highlights a specific E/M code that tends to be misreported when documenting nurse visits. The code 99211 is specifically designed for a "problem-focused" visit that can be performed by a nurse.

This code indicates that the encounter is typically of low complexity and does not require the presence of a physician or advanced practice provider. It is often used for follow-up visits, medication management, or other minor issues that can be handled in a brief visit. Because the requirements for this code are less stringent in comparison to higher-level codes, it is frequently utilized and sometimes misapplied in situations where a higher-level service might be inaccurately billed.

In contrast, the other codes mentioned are generally associated with more complex evaluations that require a higher level of service, which is not what a nurse typically provides during a standard visit. Recognizing the appropriate use of this code helps ensure accurate billing and compliance with coding guidelines, which is essential for maintaining the integrity of healthcare billing practices.

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