Wiki SNF E/M Codes

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Independence, MO
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I am new to an office that has a doctor that goes to 3 different nursing homes. Is there a stipulation that the nursing home patient only be seen once every 20 days, and if seen more than that needs a seperate diagnosis than the original one? and I have also been told that the second visit needs a modifier??? is this correct? if so do I attach the 59 modifier? Any tools that might assist me in SNF coding would be a great help also
 
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