Nursing Facility Services CPT® Code range 99304- 99316
The Current Procedural Terminology (CPT) code range for Nursing Facility Services 99304-99316 is a medical code set maintained by the American Medical Association.
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Hospitals should use this tool to protect their profit margins. Diagnosisrelated group DRG validation ensures the accuracy of DRG assignment and payment for inpatient hospital stays. Since inpatient c... [ Read More ]
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Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
Anyone know or have been able to find any information on billing for a residential facility in West Virginia for federal payers? Commercial insurance companies use Nursing Facility Care Codes 99304-99... [ Read More ]
I found this under the lay terms for 90785. Hopefully this is helpful.
Lay Terms
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[QUOTE="Cavalier40, post: 429445, member: 333983"]From my understanding, a facility that performs SA Detox and Residential care should be using the hospital inpatient e/m set (99231-99233) when report... [ Read More ]
From my understanding, a facility that performs SA Detox and Residential care should be using the hospital inpatient e/m set (99231-99233) when reporting physician encounters that medically manage or ... [ Read More ]
My provider is a Hospice employee, and I am a coder for IM clinic that is affiliated with local Hospital and Hospice facility. Commercial payors have returned claims submitted for POS #34/Hospice with... [ Read More ]
Nursing Facility Care codes (99304 - 99310, 99315 - 99316 and 99318) all [B]require face-to-face time[/B] with the patient. Telephone orders are not separately billable. If the provider reviews and do... [ Read More ]
Our physicians do these types of visits.....I post as appropriate nursing home charge (99304 - 99316). POS would be SNF 31, NF 32. If it is a Hospice facility, then use 34. Attach Modifier GV to CPT c... [ Read More ]
=Headache, lol
I have many questions since I usually only do the facility coding for our GI practice.
Some of our referring doctors have asked one of our staff physicians to see some of their patien... [ Read More ]