KLRuhe
Networker
I have a question for an E/M expert regarding 99306 Initial Nursing Facility Care. This code requires medical decision making of high complexity. That is the component that my question is in regard to:
The following examples are patients that the physician is admitting from the hospital to the nursing facility. The physician reviews multiple records from the hospital stay (labs, x-rays, medicine changes, etc.) So, the "Data" component of medical decision making would be met, in my opinion.
#1. The patient is on multiple medications for several chronic, but stable, conditions (senile dementia, status post hip fracture repair - doing well, hypertension -stable, GERD, RAD -stable).
#2. The patient is on multiple medications for several chronic conditions again, but this patient's diagnoses are severe senile dementia, recent acute gastroenteritis -resolved, chronic renal insufficiency, poor oral caloric intake.
I am unsure if either of the above would meet the definition of "high" medical decision making.
The following examples are patients that the physician is admitting from the hospital to the nursing facility. The physician reviews multiple records from the hospital stay (labs, x-rays, medicine changes, etc.) So, the "Data" component of medical decision making would be met, in my opinion.
#1. The patient is on multiple medications for several chronic, but stable, conditions (senile dementia, status post hip fracture repair - doing well, hypertension -stable, GERD, RAD -stable).
#2. The patient is on multiple medications for several chronic conditions again, but this patient's diagnoses are severe senile dementia, recent acute gastroenteritis -resolved, chronic renal insufficiency, poor oral caloric intake.
I am unsure if either of the above would meet the definition of "high" medical decision making.