Medical Coding

Category - Evaluation and Management

An 82-year-old woman is admitted to a nursing facility for rehabilitation after having had a stroke. The admitting physician spent 35 minutes at the nursing home completing a comprehensive history and examination and moderate complexity medical decision making. What evaluation and management CPT code should be used for this patient?
  1. 99304
  2. 99305
  3. 99306
  4. 99307
Explanation
Answer: B - 99305 is the correct code for the initial nursing facility care evaluation and management requiring a comprehensive history and examination as well as moderate-complexity medical decision making requiring 35 minutes of time at the nursing facility or by the patient’s bedside.
Code 99304 is incorrect because this code is for a low-complexity or straightforward medical decision making evaluation and management of initial nursing facility care. Code 99306 is incorrect because this code is for an initial evaluation and management of a patient at a nursing facility that requires high-complexity medical decision making. Code 99307 is incorrect because this code is for subsequent visits and not the initial evaluation and management visit to the nursing facility.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz