CPT code 99304: Initial nursing facility care, low complexity

CPT code 99304: Initial nursing facility care, low complexity

Learn more about how to use CPT code 99304 through our guide that comes complete with documentation requirements and billing guidelines.

Use Code

Frequently asked questions

Yes, if no active issues require moderate or high-complexity MDM.

Not necessarily. CPT 99304 is primarily selected based on the complexity of medical decision-making, but if billed based on time, it typically represents 25 minutes of total time spent on the date of the encounter.

Any physician or qualified healthcare professional (QHP) who performs and documents the initial comprehensive assessment and is responsible for patient management, such as developing a care plan upon admission, may bill this code.

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