Wiki Skilled Nursing/Nursing home visits

NBLEYL

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I have a group who visit patient's in nursing homes and skilled nursing facilities. I am getting conflicting information on the E&M codes for visits to the SNF. Can anyone help me with this? Is it correct to use 993xx codes for these visits?
Thank you
 
Yes, visit codes can be used in a skilled nursing facility. The same rules apply as in POS 11. For example, if the docs are going in every 9 weeks to treat nails and calluses, and nothing new is being treated, ie: wound or PF, then no E&M can be billed. Some facilities have acute care as well as domiciliary services, so the codes would depend on the patient's status.
 
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