Evaluation and Management - Nursing Facility Services (November 2002)

November 2002 page 11a Coding Consultation: Questions and Answers Evaluation and Management - Nursing Facility Services, 99315, 99316 (Q&A) Question Can the nursing facility discharge services codes ( 99315 - 99316 ) be reported when a nursing facility patient expires, and the physician pronounces the patient dead? AMA Comment Yes. The physician must have face-to-face contact with the patient, examine the patient and prepare the necessary discharge records in order to appropriately report a nursing facility discharge services code. Evaluation and Management - Nursing Facility Services (November 2002). CPT® Assistant. 2002; November 2002 page 11a ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short CPT Assistant Q&A focused on evaluation and management coding for nursing facility services. It explains the general context for reporting nursing facility discharge services and addresses a specific documentation and encounter scenario. The piece is intended for coders and clinical documentation staff seeking clarification on CPT guidance in post-acute and long-term care settings.

Why This Topic Matters

Nursing facility E/M reporting can hinge on precise encounter circumstances and documentation. This article helps readers identify when to review CPT guidance for discharge-related services in a nursing facility setting.

Article Sections

  1. Coding Consultation: Questions and Answers

    A brief Q&A format addressing a nursing facility E/M reporting question in the CPT Assistant context.

What You Will Learn

  • The article’s focus within nursing facility evaluation and management coding
  • How CPT Assistant presents clarification on discharge-related reporting questions
  • The type of documentation context discussed for nursing facility services
  • Why this guidance is relevant to post-acute and long-term care coding reviews

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance teams
  • Physicians
  • Nursing facility documentation staff

Codes Discussed

Code Ranges Discussed


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