AMA CPT® Assistant - 2023 Issue 1 (January)

Questions and Answers (January 2023)

January 2023 page 28 Questions and Answers Evaluation and Management (E/M): Nursing Facility Services Question: If a patient transitions from a nursing facility to a hospital as an inpatient and then back to a nursing facility, would it be considered as an initial level of care when the patient returns to the nursing facility? Answer: If the patient were discharged from the nursing facility and returns for a new nursing facility stay post-hospital discharge, the assessment, if performed by a physician or other qualified health care professional on the return, would be considered an initial level of care. This...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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