AMA CPT® Assistant - 2006 Issue 7 (July)
Evaluation and Management: Initial Inpatient Consultation/ Subsequent Nursing Facility Care (July 2006)
July 2006 page 19a Evaluation and Management: Initial Inpatient Consultation/Subsequent Nursing Facility Care, 99251 (Q&A) Question What are the appropriate CPT codes to report for a consultation performed in a nursing facility? AMA Comment From a CPT coding perspective, the Initial Inpatient Consultation codes 99251- 99255 are reported, as appropriate, for the initial consultation provided to residents of nursing facilities. Subsequent visits are reported with the Subsequent Nursing Facility Care codes 99307- 99310, as appropriate. Evaluation and Management: Initial Inpatient Consultation/Subsequent Nursing Facility Care, 99251 (Q&A). CPT® Assistant. 2006; July 2006 page 19a ...
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Article Overview
This short CPT-focused article answers a billing and coding question about evaluation and management services in a nursing facility setting. It is relevant to coders, billers, and audit staff who need a basic understanding of the article’s scope: initial inpatient consultation reporting, subsequent nursing facility care reporting, and related CPT guidance presented in a question-and-answer format.
Why This Topic Matters
The article helps readers identify the general CPT framework discussed for evaluation and management services in nursing facilities and understand which type of guidance the AMA addressed in this July 2006 Q&A.
What You Will Learn
- How the article frames evaluation and management services for nursing facility residents
- What broad CPT topic the July 2006 Q&A addresses
- Which categories of CPT guidance are discussed for initial consultation and subsequent care in a nursing facility context
- How the article is organized as an AMA coding question and comment
Who Should Read This
- Medical coders
- Billing staff
- Compliance/audit personnel
- Healthcare revenue cycle professionals
- Physician practice administrators
Codes Discussed
Code Ranges Discussed
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