Learn how CPT code 99307 applies to low-complexity nursing facility care for ongoing patient evaluation and management.
Subsequent nursing facility care falls under the evaluation and management (E/M) category of CPT coding. It includes codes like 99307, which is considered a billing unit for subsequent visits.
These visits represent follow-up care by healthcare providers within nursing facility services, focusing on patients with ongoing medical needs.
CPT 99307 is designed for low complexity medical decision-making and supports the facility capturing the nuances of continued patient care. The documentation should reflect a detailed interval history, brief physical findings (not a comprehensive exam), and medical decision-making appropriate to stable or improving conditions. This helps ensure accurate representation of the services provided during the visit.
No. CPT 99307 should not be reported on the same day as discharge codes like 99315 or 99316. Providers must choose the most appropriate code based on the service performed. It's important to consider these key points to avoid coding conflicts and ensure proper billing.
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