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Current Procedural Terminology (CPT) Codes 99304 Through 99318
The CPT nursing facility services codes shall be used with POS 31 (skilled nursing facility or SNF) if the patient is in a Part A SNF stay. They shall be used with POS 32 (nursing facility) if the patient does not have Part A SNF benefits or if the patient is
in a NF or in a non-*‐covered SNF stay (e.g., there was no preceding three-*‐day hospital stay). The CPT NF code definition also includes POS 54 (intermediate care facility/mentally retarded) and POS 56 (psychiatric residential treatment center).
CPT Codes 99324 Through 99328 and 99334 Through 99337 :
Domiciliary, rest home (e.g., boarding home) or custodial care services are used to report Evaluation and Management (E/M) services to residents residing in a facility which provides room, board and other personal assistance services, generally on a long-*‐term basis. These CPT codes are used to report E/M services in facilities assigned POS codes 13 (assisted living facility), 14 (group home), 33 (custodial care facility), and 55 (residential substance abuse facility). Assisted living facilities may also be known as adult living facilities.
Narashiman.R COC CPC
The CPT nursing facility services codes shall be used with POS 31 (skilled nursing facility or SNF) if the patient is in a Part A SNF stay. They shall be used with POS 32 (nursing facility) if the patient does not have Part A SNF benefits or if the patient is
in a NF or in a non-*‐covered SNF stay (e.g., there was no preceding three-*‐day hospital stay). The CPT NF code definition also includes POS 54 (intermediate care facility/mentally retarded) and POS 56 (psychiatric residential treatment center).
CPT Codes 99324 Through 99328 and 99334 Through 99337 :
Domiciliary, rest home (e.g., boarding home) or custodial care services are used to report Evaluation and Management (E/M) services to residents residing in a facility which provides room, board and other personal assistance services, generally on a long-*‐term basis. These CPT codes are used to report E/M services in facilities assigned POS codes 13 (assisted living facility), 14 (group home), 33 (custodial care facility), and 55 (residential substance abuse facility). Assisted living facilities may also be known as adult living facilities.
Narashiman.R COC CPC
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