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Nursing Facility Visits

Definition

Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing facility.

Explanation

Only a physician may perform an initial nursing facility service in a SNF. This includes admissions and re-admissions. In an NF, a non-physician practitioner (NPP) who is not employed by the NF may perform an initial nursing facility service IF it is allowed within the NPPs licensure, state scope of practice, state law and if the NPP meets collaboration and supervision requirements. NPPs may perform subsequent nursing facility care prior to or after the initial physician admission.

Codes

99304-99306     Initial Nursing Facility Care

99307-99310     Subsequent Nursing Facility Care

99315-99316     Nursing Facility Discharge

99318              Annual Nursing Facility Assessment

Coverage

Physician services are mandated for patients in a SNF or NF as a condition of the facility’s participation with Medicare.


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Relevant Search Terms: 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318

Last revised April 19, 2022 - Betsy Nicoletti
Tags: category of service, primary care_other E/M services

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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