99211 code

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
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      For Performance Year 2025, implementers should omit encounters for code 99211 (Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional) from measure reporting.

      For more information, please reference https://oncprojectracking.healthit.gov/support/browse/EKI-39
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      For Performance Year 2025, implementers should omit encounters for code 99211 (Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional) from measure reporting. For more information, please reference https://oncprojectracking.healthit.gov/support/browse/EKI-39
    • Not measure related
    • CMS0068v14

      Dear Support, 

      Code 99211 is a nurse visit. Med reconciliation would not normally happen on an encounter that is not performed with an eligible provider. This code has not been in previous value sets for this measure. 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Cathy Monroe
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              Created:
              Updated:
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