CPT^® 99304, Under New or Established Patient

The Current Procedural Terminology (CPT^®) code 99304 as maintained by American Medical Association, is a medical procedural code under the range - New or Established Patient.

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Summary

The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider spends at least 25 minutes of total time on the encounter on a single date.

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Telemedicine and Home Health Professional services

Hello, I have questions regarding billing of E/M services for professional home or domiciliary visits performed via telehealth. I am having difficulty getting reimbursement from Anthem, when we will ... [ Read More ]

SNF and Prolonged Non F2F service

Can we bill both the service together on same day? 99304 - 99310 and 99358 ?... [ Read More ]

Initial Hospital Care codes and Admission to Hospital dates?

If you did an inpatient consult, but the carrier does not accept consult codes, the Medicare guideline specify you may use initial inpatient 99221-99223. They also state if you do not meet 99221 (sinc... [ Read More ]

SNF service Initial encounter billing Florida

Hello, I have a found one question that the when we bill for SNF service with Florida state, can we capture initial CPT (99304,99305,99306) with NP provider? I have found one document that the we can... [ Read More ]

Inpatient E & M

[QUOTE="csperoni, post: 510908, member: 164618"] Actually, if you did a consult, but the carrier does not accept consult codes, the Medicare guideline state you may use initial inpatient 99221-99223. ... [ Read More ]

Modifier 25 with 99223 and 99497

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 ]

Inpatient E & M

Actually, if you did a consult, but the carrier does not accept consult codes, the Medicare guideline state you may use initial inpatient 99221-99223. However, not all carriers follow that same guida... [ Read More ]

Provider wants to use 99358 non f2f prolonged visit code on all of his 99304 visits.

Hello, Recently, my provider wants to bill 32 minutes of 99358 (non F2F) on all of his 99304 initial visits because he said it takes time for him to review charts at night at home before scribing his... [ Read More ]

E/M code for POS 56

One of my clients (DPM) is seeing patients in a facility that should be billed under a 56 POS. We are trying to figure out the appropriate E/M code for this place per Medicare guidelines. I say that... [ Read More ]

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