Results 1 to 4 of 4

Specialists & Initial Nursing Home Visit

  1. Default Specialists & Initial Nursing Home Visit
    Clearnace Sale
    Gastroenterologist goes to nursing home for initial visit. He is not the admitting doctor. Are codes 99304-99306 appropriate? We have been using 99307-99310 for initial visits because we are not the admitting doctor. Please advise. Thank you

  2. #2
    Yes they the correct codes i bill for an Infectious Disease MD and I have been using 99306 hope this helps

  3. #3
    Default Level billed for specialist Visit in Nursing Home
    Wouldn't the level used depend on the elements as outlined in the E&M Guidelines? Use of the 99306 for all specialist visits? Please clarify.

  4. #4
    Columbia, MO
    Per the Dec 14 transmittal:
    B. Policy: Effective January 1, 2010, the consultation codes are no longer recognized for Medicare Part B payment. Physicians shall code patient evaluation and management visit with E/M codes that represent where the visit occurs and that identify the complexity of the visit performed. In the inpatient hospital setting and the nursing facility setting all physicians (and qualified nonphysicians where permitted) who perform an initial evaluation and management may bill the initial hospital care codes (99221 – 99223) or nursing facility care codes (99304-99306). As a result of this change, multiple billings of initial hospital and nursing home visit codes could occur even in a single day.
    I agree that you cannot say they are all 99306 encounters with out benefit of the documentation it must meet the componets of that level to be billed as that level.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Replies: 0
    Last Post: 09-04-2014, 08:31 AM
  2. Nursing home initial visit
    By vkratzer in forum Family Practice
    Replies: 0
    Last Post: 12-26-2012, 10:50 AM
  3. Initial nursing home visit
    By JCampbell in forum E/M
    Replies: 0
    Last Post: 07-18-2011, 09:13 AM
  4. Skilled nursing home initial visit
    By janetrose in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-14-2010, 08:22 PM
  5. Initial Nursing Home Visit
    By eafaoro1 in forum Podiatry
    Replies: 1
    Last Post: 09-19-2010, 03:40 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.