CPTCodeCalculator
E/MBase2026 Compliant

CPT 99211

2026 Billing Guide

Est Pt, Nurse Visit

Reimbursement

$23.05

Threshold

5m

2026 Status

Active

What is CPT Code 99211?

CPT 99211 is defined as: 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. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.

This code is primarily used for E/M services. It falls under the category of Evaluation and Management (E/M) - Office/Outpatient and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

0.18

Physician Effort

PE (Non-Fac)

0.5

Practice Expense

Malpractice

0.01

Risk Factor

Total RVU

0.69

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

virtual supervision

In 2026, the physician/QHP can provide 'direct supervision' via audio/video for 99211 nurse visits, enabling remote clinic models.

value protection

Exempt from efficiency adjustments because it is a low-intensity, time-based supportive service.

site neutrality

Facility and non-facility payments are balanced due to low indirect cost allocation.

Administrative Framework

Global Period

000

Place of Service

11 (Office)22 (On Campus-Outpatient Hospital)

NCCI Exclusions

Do not bill with:99212-9921599490 (Mutually exclusive if on same day)

Key Modifiers

25Significantly separately identifiable E/M service by the same physician on the same day. Often required if billing 99211 during an CCM initiation.

Operational Requirements

minimum time

Typically 5 minutes (recorded as clinical staff time)

staff type

Clinical staff (MA, LPN, RN) under direct supervision of Physician/QHP

frequency

As clinically necessary

add on codes

care plan requirement

Documentation of minimal presenting problem and clinical staff intervention.

Compliance Checklist

Documentation of the medical necessity for the nurse visit
Clinical intervention performed (e.g., BP reading)
Evidence of direct supervision by the billing provider
Patient status: must be an established patient

Audit Defense

No specific audit defense elements defined.

2026 Update

Medicare focus on 'Integrated Care' makes 99211 a useful tool for frequent check-ins between major E/M visits.

Common Clinical Scenarios

Blood pressure check for a stable hypertensive patient
Dressing change or suture removal by a nurse
Quick education session following a medication change

CMS Eligibility: Minimal severity chronic or acute conditions. Brief assessment

Target Specialties & Utilization

Primary CareCardiologyRheumatology

Typical Clinical Indications (ICD-10)

I10 (Hypertension)E11.9 (Type 2 diabetes)Z00.00 (General adult medical examination)

Billing Differentiation

VS 99212

99212 requires Physician/QHP presence and higher MDM; 99211 is clinical staff only.

VS CCM

99211 is a face-to-face (or virtual equivalent) visit; CCM (99490) is monthly non-face-to-face management.

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