CPT ® 99304, Under New or Established Patient - AAPC The Current Procedural Terminology (CPT ®) code 99304 as maintained by American Medical Association, is a medical procedural code under the range - New or Established Patient Subscribe to Codify by AAPC and get the code details in a flash
How To Use CPT Code 99304 - Updated 2025 - Coding Ahead CPT code 99304 is used when a healthcare provider conducts an initial evaluation and management service for a patient in a nursing facility This code should be selected when the total time spent on the encounter is at least 25 minutes or when the medical decision-making involved is straightforward or low
Complete Guide to CPT Codes 99304–99318 for Nursing Facility Billing Accurate coding using CPT codes 99304–99318 is essential for effective nursing facility billing It ensures compliance, streamlines reimbursement and delivers nop notch care by understanding the distinctions between initial, subsequent, discharge and annual services
Nursing facility E M services - Novitas Solutions Initial nursing facility codes 99304, 99305 and 99306 may be used once per admission, per physician or qualified healthcare professional, regardless of the length of stay
Nursing Facility Billing: A Comprehensive Guide to CPT Codes 99304-99318 What is CPT Code 99304? CPT 99304 should be reported for the initial and only comprehensive encounter with a new or established patient in a SNF via CPT code for skilled nursing facility The visit includes a history and examination and also reaches moderate complexity in medical decision-making
The Most Common Nursing Home CPT Codes in 2025 Explained 99304 – Initial nursing facility care for a new or established patient (comprehensive) 99305 – Initial nursing facility care requiring moderate medical decision-making 99306 – Initial nursing facility care requiring high medical decision complexity
The 2023 Hospital and Nursing Home E M Visit Coding Changes Initial nursing home visits are coded with 99304-99306 CPT is deleting the code for nursing home annual exams (99318), which will instead be coded as subsequent nursing home visits
CPT 99304, 99305, 99306, 99307, 99308, 99309 - SNF visit codes A physician or NPP may bill the most appropriate initial nursing facility care code (CPT codes 99304-99306) or subsequent nursing facility care code (CPT codes 99307-99310), even if the E M service is provided prior to the initial federally mandated visit
Nursing Facility Services CPT ® Code range 99304- 99316 - AAPC The Current Procedural Terminology (CPT) code range for Nursing Facility Services 99304-99316 is a medical code set maintained by the American Medical Association Subscribe to Codify by AAPC and get the code details in a flash