Lisa Posted Thu 01st of December, 2011 15:43:41 PM
What CPT code is used when a physician fills out admitting paperwork for a patient to go to a nursing home in the office? The physician never goes to the nursing home. Thanks!
SuperCoder Answered Thu 01st of December, 2011 17:52:42 PM
Don't bill the office visit.
The service then billed is based when the post-admit service of Initial Nursing Facility care is provided.
When the patient is admitted to the nursing facility in the course of an encounter in another site of service (eg, hospital emergency department, physician's office), all evaluation and management services provided by that physician in conjunction with that admission are considered part of the "Initial Nursing Facility Care" when performed on the date of admission or readmission.
The nursing facility care level of service reported by the admitting physician should include the services related to the admission he/she provided in the other sites of service as well as in the nursing facility setting.