CPT CODE 99309 - CGS Medicare

CPT CODE 99309 . SUBSEQUENT NURSING FACILIT Y CARE. FA C T S H E E T. Subsequent Nursing Facility Services Components Required: 2 of 3 99307 99308 99309 99310 Medicare allows only the medically necessary portion History & Exam of a face-to-face visit. Even Problem Focused if a complete note is Expanded problem focused generated, only the necessary Detailed services for the condition of Comprehensive the patient at the time of the visit can be considered in Medical Decision Making determining the level/medical Straightforward . necessity of any service. Low . Moderate . High For billing Medicare , a provider Presenting Problem (Severity) may choose either version of the documentation guidelines, Stable/recovering/improving . not a combination of the Responding inadequately to therapy/minor two, to document a patient . complication encounter. However, beginning Significant complication/significant new problem for services performed on Unstable/significant new problem requiring or after September 10, 2013.

CPT CODE 99309 T SUBSEQUENT NURSING FACILITY CARE This Fact Sheet is for informational purposes only and is not intended to guarantee payment for services, all services submitted to Medicare must meet Medical Necessity guidelines.

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