AMA CPT® Assistant - 2009 Issue 7 (July)
Nursing Facility Services (July 2009)
July 2009 pages 3-4 Coding Communication: Nursing Facility Services The CPT codes for reporting Nursing Facility Care Services have undergone numerous changes over the years. In CPT 2006 , the Initial Nursing Facility Care Assessment codes, 99301 - 99303 and Subsequent Nursing Facility Care codes, 99311 - 99313 were deleted. These codes were replaced with Nursing Facility Services codes, 99304 - 99310 and 99318 . In 2008, typical physician time for the length of these encounters were affixed to these codes. This article examines and explains these revisions and how the codes are currently reported. Because of various changes to the...
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Article Overview
This article explains the scope of CPT nursing facility evaluation and management services and how the category was revised over time. It is aimed at coders, compliance staff, and clinicians who need a general understanding of the nursing facility service structure, documentation expectations, visit categories, and time-based reporting framework referenced in CPT guidance.
Why This Topic Matters
Nursing facility service coding is affected by revisions to CPT structure, documentation requirements, and time-based reporting conventions. Understanding the article helps readers recognize which service category applies and why these codes are treated differently from other evaluation and management services.
Article Sections
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July 2009 pages 3-4
Introductory overview of nursing facility service coding changes, including the general organization of the section and the broader context for the CPT revisions discussed in the article.
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Initial Nursing Facility Care
Discussion of the initial nursing facility care category, its general documentation framework, and the relationship between the service structure and time-based reporting.
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Subsequent Nursing Facility Care
Discussion of the subsequent nursing facility care category, including its place in the overall service structure and the general approach to reporting follow-up visits.
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Nursing Facility Discharge Services
Overview of the discharge service category and how this part of the nursing facility section is organized around time-based service reporting.
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Other Nursing Facility Services
Coverage of the remaining nursing facility service category and its role within the broader CPT nursing facility framework, including annual assessment-related guidance.
What You Will Learn
- How CPT nursing facility services are organized into major categories
- What kinds of revisions were made to the nursing facility section over time
- How documentation and time concepts are presented in the nursing facility guidance
- Which general service situations are addressed within the nursing facility section
- How the article frames the relationship between nursing facility services and broader E/M structure
Who Should Read This
- Medical coders
- Coding compliance professionals
- Physicians
- Nurse practitioners
- Physician assistants
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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