tci E/M Coding Alert - 2013 Issue 1

Reader Question: Follow the 3 Key Components Rule for 99304-99306

Question: How do I code if our physician went to the nursing home to see Medicare patients for consultations, but did not meet all three requirements to charge a new patient visit. Would I use 99307?   Answer:  The codes for nursing home consultations are 99304-99306 (Initial nursing facility care, per day for the evaluation and management of a patient ...). However, these codes do require that the three key components — history, physical examination, and medical decision making — be addressed. Since you did not do the three components, you cannot bill these codes. Under these circumstances most...

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