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Nursing Facility Discharge Services CPT® Code range 99315- 99316

The Current Procedural Terminology (CPT) code range for Nursing Facility Services 99315-99316 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99315- 99316
Section 99315-99316
Nursing Facility Discharge Services
99315
99316
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Modifier 25 with 99223 and 99497
Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
SNF Discharge (99315/99316) Question
Hi all, I got an email from one of my providers that has me a little stumped. I've been combing the internet but can't seem to get the information I need. Any guidance would be so helpful. I think the... [ Read More ]
G0454
Anyone have experience billing G0454? My practice is going to start using it and I have a few questions. We are a practice that sees patient's in SNF's and do not have an actual office. 1. What plac... [ Read More ]
Time documentation for discharge
Here are 2 references: The first is from FAQ on the Novitas website. The second is from the Palmetto GBA website. "Hospital discharge day management codes 99238 (30 minutes or less) and 99239 (more ... [ Read More ]
Interactive Complexity- When it is okay to bill clarification
I found this under the lay terms for 90785. Hopefully this is helpful. Lay Terms This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of s... [ Read More ]
Nursing Facility Discharge vs Subsequent Visit
I have multiple NP's billing visits at Nursing Facilities. Several have started billing 99310 (subsequent visit), for a discharge note instead of 99316. Their note states they are discharging the pati... [ Read More ]
Medicare skill nursing codes for discharge
Have a question need a answer asap. When a patient is prounced decreased in a skilled nursing facility and the dr does a expiration summary, and the patient has Medicare insurance would I use the cod... [ Read More ]
Nursing Facility Discharge Services
If you review the guidelines for these codes you'll notice that they are time based. 99315 is 30 minutes or less, 99316 is more than 30 minutes. In the guidelines it states that they include 'as a... [ Read More ]
Nursing Facility Discharge Services
Does anyone have any information about the level of exam needed to be performed by provider for CPT codes 99315 and 99316. CPT just says "final examination" and Medicare's MLN for Discharge Planning o... [ Read More ]
Coding for RTC for Med Mgmt only
I'm no longer at work, so this is from memory. I'd look into using a 99315 or 99316 since the POS is 56 and not an office setting. Hope that helps.... [ Read More ]
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