PIAC: Registered Nurse Billing in Primary Care

Payment for primary care remains predominantly fee-for-service. Billing regulations are complex and often not a part of nursing curriculum. This leads to confusion and a lack of understanding. When nurses are employed by primary care practices, their nursing services that contribute to context, as well as the systems they serve and impact the RN’s billable services, are not clearly identified. This article describes frequently used codes, regulatory requirements for use, and opportunities for future payment models.