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cpt code

Zakari Posted Fri 04th of May, 2012 15:27:58 PM

Hi, what code do I use to bill discharge summary for nursing home? thank you.

SuperCoder Answered Fri 04th of May, 2012 16:04:48 PM

Either a physician or an NPP may bill for discharge services from a skilled nursing facility or a nursing facility. There are two discharge day management codes from a nursing facility. 99315 is for discharge day management 30 minutes or less, and 99316 is for discharge day management over 30 minutes. Include in the time all of the services provided in the discharge: meeting with the patient and family, examining the patient, discharge paperwork, and instructions to caregivers. There are no specific history, exam or medical decision making requirements for this service.

Bill for the service on the date that the physician or NPP has a face-to-face service with the patient, even if that is not the day the patient goes home. For example, if the physician sees the patient on Friday, June 1, and arranges for the patient to be discharged on Saturday, and the physician does not see the patient on Saturday, bill for the discharge on June 1, the day the patient was seen.

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