tci General Surgery Coding Alert - 2007 Issue 2

READER QUESTION: POS Gives Clue to NF Service's Codeability

Question: Our surgeon discharges a patient from the hospital and then admits him to a nursing facility (NF). The physician did not go to the NF for this admit or perform a follow-up. Should I charge an NF visit?Washington Subscriber Answer: No. You should code only the hospital discharge (99238, Hospital discharge day management; 30 minutes or less; or 99239, - more than 30 minutes). The nursing facility admission (99304-99306, Initial nursing facility care, per day, for the evaluation and management of a patient -) requires a face-to-face physician-patient encounter at the facility.Tip: Checking the place of...

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