billing for rn supervised services (99211)


Commonly seen in school nurse/SBHC setting:

(Source: Keeton V, Soleimanpour S, Brindis CD: School-Base Health Centers in an Era of Health Care Reform: Building on History/ Curr Probl Pediatr Adolesc Health Care. Jul 2012; 42(6): 132-158. And Massachusetts Dept of Public Health report – Essential School Health Services Program Data Report 2009-2010 School Year)

The recommendations in this document are not intended to indicate an exclusive course of treatment or to be applicable in all circumstances. Please use this document as a guide for developing your policies and protocols.  The examples included here have not been reviewed for medical accuracy or up-to-date treatment protocols.

This document is meant to be a resource when creating a process and protocol for interdisciplinary care that includes an RN and physician.  It may not include up to date coding or reimbursement information and is meant only to provide examples of billing and CPT codes you may consider as you establish your organizations’ policies for interdisciplinary care.

telemedicine billing

Billing for every state is different. For more information about national telehealth policy issues and to get access to key telehealth policy resources, view the Center for Connected Health Policy (CCHP) website.   


View current State Telehealth Laws and Reimbursement Policies.  Click Michigan, then apply button on the left.


Standard billing codes apply to tele-mental health visits. Additionally, tele-mental health services must be reported with Place of Service 02-Telehealth and the GT modifier. See Telemedicine Services Database within MSA 20-13 bulletin for codes, modifiers, descriptions and fees.

If “home” is the originating site, tele-mental health services are not eligible to bill the additional facility fee (Q3014). 

References: Michigan Medicaid Policy Bulletins

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