In simple words: A brief visit with a healthcare professional, like a nurse, for a simple issue when you've seen the doctor before.The doctor may not need to be present.

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.

Example 1: An established patient calls with a simple question about medication refills. A nurse reviews the patient's chart, confirms the current medication, and processes the refill request, all taking under 5 minutes., An established patient comes in for a blood pressure check. A nurse takes the patient's blood pressure, records it in the chart, and provides basic lifestyle advice. No physician is required, and the service is completed within 5 minutes. , An established patient needs a dressing change for a minor wound. A nurse assesses the wound, changes the dressing, and provides wound care instructions, all within a 5-minute timeframe.A physician is not required to be present for this service.

Documentation should support the minimal nature of the presenting problem and the service provided. It should be clear that the service could be performed by clinical staff under the supervision of a physician or other qualified healthcare professional, without the need for direct involvement of the physician.The time spent (typically around 5 minutes) should also be documented.

** The definition of "minimal" presenting problem can be subjective and may vary depending on payer policies. It's crucial to understand payer-specific guidelines for appropriate use of 99211 to ensure proper reimbursement.