The doctor I am coding for sees a patient in a skilled nursing facilty for the first time and dictates his note. He has a problem focused HPI, detatiled exam, and low complextity MDM. The initial visits require 3 of 3 components to code the lowest level and the hpi and exam must be detailed or comprehensive.

So, the MD doesn't meet the requirements to code the lowest initial SNF code. I was told by auditors we can use subsequent codes in an inpatient setting if the MD can't meet the documentation requirements. Does this apply to SNF initial visits too?