Medical Coding

Category - Evaluation and Management

A 76-year-old man has completed his rehabilitation at a nursing facility after bilateral knee replacements. He is being discharged from the nursing facility and the discharging physician spends 35 minutes completing this process. What is the correct evaluation and management code for this patient?
  1. 99304
  2. 99307
  3. 99315
  4. 99316
Explanation
Answer: D - 99316 is the correct evaluation and management CPT code for a discharge from a nursing facility that takes more than 30 minutes.
Code 99304 is incorrect because this code is for an initial nursing facility care encounter. Code 99307 is incorrect because this code is for a subsequent nursing facility care encounter. Code 99315 is incorrect because, while this is a discharge code from a nursing facility, the time involved with this patient is not 30 minutes or fewer.
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