tci General Surgery Coding Alert - 2006 Issue 4

READER QUESTIONS: HEM Now Counts for Nursing Care

Question: Our surgeon recently performed a re-admission assessment for a nursing home patient. I-ve not reported this type of service previously. Would you explain the rules?New York SubscriberAnswer: For 2006, CPT has completely revised its codes and rules for nursing facility assessments. Old way: When a nursing facility patient underwent a substantial change that required the surgeon to issue a new treatment plan, you had to choose between three types of comprehensive nursing facility assessments. The structure of these services caused a lot of confusion for providers and payers alike.Here is the 2005 breakdown:- annual assessment--99301 (Evaluation...

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