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Wiki Place of Service SNF Vs. Domiciliary

mhartge

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Queenstown, MD
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Hi there,
I am hoping that you can help to clarify a little confusion that we have regarding place of service and E/M Code sets.

If a patient LIVES in a skilled nursing facility which E/M code set should we applying?

Nursing Facility Code category: 99304-99310 Vs.
Domiciliary Code category: 99324-99337

We are having discussion in that some say if they are in a SNF regardless of their care level we should be using the E/M SNF code categories. Others are saying that if they are in a SNF but are considered custodial/or this is their residence then the Domiciliary code category should be applied.

Any guidance is appreciated.
 
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