tci E/M Coding Alert - 2017 Issue 3

You Be the Coder: Demystify Custodial Care Center Options

Question: The physician provided services to a new patient in a custodial care center. The patient is a 43-year-old paraplegic who has a severe infected stasis ulcer. The physician performed a detailed history and detailed examination and prescribed an antibiotic. Which code should I use? California Subscriber Answer: According to the CPT® manual, for a new patient, you would choose from 99324-99328 (Domiciliary or rest home visitfor the evaluation and management of a new patient, which requires these 3 key components …) to report E/M services that provide room, board, and other personal assistance services, usually on a...

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