Wiki Personal care home visits

cooper1

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We have a physician who is going to a personal care home and we are having problems with the codes. It's not a nursing home or rest home. I thought we should use codes 99324-99337 or someone had thought maybe we should be using 99341-99350..Anyone bill for personal care homes now and what codes do you use? Also what are you using for the place of service?

TIA

Tracey
 
The CPT codes 99341 through 99350, Home Services codes, are used to report E/M services furnished to a patient residing in his or her own private residence (e.g., private home, apartment, town home) and not residing in any type of congregate/shared facility living arrangement including assisted living facilities and group homes. The Home Services codes apply only to the specific 2-digit POS 12 (Home). Home Services codes may not be used for billing E/M services provided in settings other than in the private residence of an individual as described above.

http://www.cms.gov/manuals/downloads/clm104c12.pdf

30.6.14

Also...

http://www.cms.gov/mcd/viewarticle.asp?article_id=19237&article_version=2&show=all
 
I thought htis might help.

http://www.cms.gov/mcd/viewarticle.asp?article_id=19237&article_version=2&show=all

CPT codes 99321 through 99333 are used to report Evaluation and Management services provided to residents in a domiciliary, rest home (e.g., boarding home), or custodial care facility which provides room, board, and other personal assistance services, usually on a long-term basis. These facilities are often referred to as adult living facilities or assisted living facilities with POS 33 (Custodial Care Facility) or POS 55 (Residential Substance Abuse Facility).
 
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