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Thread: E/M code for Assisted Living Place

  1. #1

    Default E/M code for Assisted Living Place

    AAPC: Back to School
    Hello All,

    One of our Doctor goes to an assisted living place and see patients there. There is a room there that is like a doctor office and that has a waiting room. He does not going to the patient's individual apartments.
    I am confusing with the below options.
    1. Does this get coded as a regular office visit.
    2. Does it get coded as Domiciliary Rest Home Custodial service.

    Also which Place of Service should be used.
    - Office visit with 11 or 13 or 14
    - Domiciliary Rest Home Custodial service with POS 13 or 14 or 33.

    All your answers are appriciated.

  2. #2
    Join Date
    Apr 2007
    Manhattan, NY


    You might want to take a look at this CMS link. It better describes what you are looking for. Take a look at pages 20-27.


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