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Nursing Home Admission

Marlene Posted Wed 02nd of April, 2014 15:23:22 PM

The physician saw the patient in the office setting and signed paperwork for admission to the nursing home setting. Her meds were reviewed and new orders were obtained along with an exam. I was wondering if it would be correct to bill the 99304-99306 codes. If yes what POS would I use...I would think 11 but I don't know if you can bill with those POS as patient was seen in office. Thanks

Marlene Posted Wed 02nd of April, 2014 15:32:25 PM

Just to add to my question. The physician does not have a face to face with the patient in the nursing home setting only the office. Thxs

Marlene Posted Mon 07th of April, 2014 17:00:13 PM

Haven't heard anything on this question??

SuperCoder Answered Tue 08th of April, 2014 00:39:56 AM

I am sorry. I will reply soon after consulting with my CE.

SuperCoder Answered Wed 09th of April, 2014 09:29:57 AM

Codes 99304-99306 are for initial care/EM service in a nursing facility. Even if the patient is being admitted to a nursing facility, you said the visit/exam took place in the office. I would think the standard office visit codes would apply instead of 99304-99306.

Physician performed F-2-F in office setup, performed standard PE, ordered tests etc. and finally adviced for NH admission. So it's all office visit work with POS 11.

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