What is the CPT code for a nurse visit at the office?

Study for the AAPC CEMC exam with our comprehensive quiz material, flashcards, and multiple choice questions. Gain insights with detailed explanations and hints to help you prepare effectively for the test.

The correct CPT code for a nurse visit at the office is 99211. This code is specifically designated for an established patient office visit that requires a problem-focused evaluation and management service. It typically represents a low-level visit that can be provided by a nurse or other qualified healthcare professional and does not require the presence of a physician.

The nature of the visit encapsulates minimal data review and straightforward medical decision-making, which is consistent with the tasks a nurse may perform in an office setting. This makes 99211 appropriate for nurse visits, as it acknowledges the level of service that does not necessitate extensive evaluation or intervention.

The other choices represent codes for slightly different scenarios. For instance, 99212 and 99213 are higher-level visit codes for established patients, reflecting more complex evaluations and decision-making processes that likely require physician involvement. The code T1002 is used for specific home health services and does not pertain to an office visit, further distinguishing it from the appropriate code for a nurse visit in a typical office setting.

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