When evaluation and management services are furnished incident-to a physician's service by a nonphysician practitioner, the physician may bill the CPT code that describes the evaluation and management service furnished. CPT code 99211 is an established patient office or other outpatient visit that may not require the presence of a physician. To bill incident to, the incident to rules must be met. To ensure the services meet those requirements, utilize the incident-to tool on our website.
Read this article for tips on how to prevent reject reason code 76474.
Read this article for tips on how to prevent reject reason code 34538.
This CARC code is received when a claim is submitted and the procedure code(s) are billed with the wrong modifier(s), or the...