CPT^® 99309, Under Subsequent Nursing Facility Care

The Current Procedural Terminology (CPT^®) code 99309 as maintained by American Medical Association, is a medical procedural code under the range - Subsequent Nursing Facility Care.

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Summary

The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least 30 minutes of total time on the encounter on a single date.

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prolonged visit billing

[QUOTE="meeshhobb006, post: 510281, member: 347259"] I am having issue within a SNF and TCU inpatient setting, place of service 31 and 32, billing a 99309 with 99358. I cannot get out the door - Medic... [ Read More ]

prolonged visit billing

I am having issue within a SNF and TCU inpatient setting, place of service 31 and 32, billing a 99309 with 99358. I cannot get out the door - Medicare an d BCBS are rejecting the claim at the front en... [ Read More ]

SNF Billing 99306

My provider is covering for another provider in a nursing home (SNF). He is not in the same practice/group as the provider he is covering. When he sees patients for the first time, would we bill the i... [ Read More ]

Level 2 coding with one DX?

A single diagnosis wouldn't necessarily be the sole determining factor of the level. It doesn't look like there's enough documentation for 99309. There would need to be: A detailed interval history... [ Read More ]

Level 2 coding with one DX?

I see he has a box checked Medication/Labs reviewed ROS, PE, and Assessment are just Psy consult. It's a Nursing Home Visit 99309 is what he wants to bill... [ Read More ]

99406 denial 99309 99406 medicaid pos

I am getting a denial from Medicaid as secondary to Medicare. Primary Cpt Code 99309 (NURSING FAC SUBSE DETAILED) was paid by Medicaid. Medicaid is denying Second cpt code 99406 for POS. POS is 31 for... [ Read More ]

SNF Discharge (99315/99316) Question

Hi all, I got an email from one of my providers that has me a little stumped. I've been combing the internet but can't seem to get the information I need. Any guidance would be so helpful. I think the... [ Read More ]

Subsequent Nursing Facility Care

Pt has Medicaid only not sure if it is a bayou health plan or not. Coded 99309 and it was denied stating claim denied for specific federal/state/local program//the biller has asked me to review the c... [ Read More ]

99309 in every visit!

Hi, we have fee- for - service , Medicare - SNF services, I have SNF- skilled nursing facility coding - Patient have CVD, Neuropathy with Diabetes and many more - provider consistently coding 99309 co... [ Read More ]

prolonged services - need help

[QUOTE="Colliemom, post: 459960, member: 40963"] Good morning, So we have a provider who submitted a 99309, which was paid, and then she added a 99358 and 99359 to the encounter, which were denied. ... [ Read More ]

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