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Wiki Skilled Nursing Facilities

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Location
Juana Diaz, Puerto Rico
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Hi I have a questions for Skilled Nursing Facility code E/M. Doctor in the first encounter transfer a patient to another institution "hospital" a same day. Describe encounter "Transfer Note"? How you a coding CPT code to E/M ? Thanks for your help?
 
I do auditing for skilled nursing. In my experience, when our patients are transfered to the hospital there is a full visit completed, usually coded 99310.
 
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