Transcription of CPT Code 99310 Fact Sheet
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CPT Code 99310 Fact Sheet
Medicare allows only the medically necessary portion of a face-to-face visit. Even if a complete note is generated, only the necessary services for the condition of the patient at the time of the visit can be considered in determining the level/medical necessity of any code 99310 Subsequent Nursing Facility CareFAC T SHEETD ocumentation MUST establish medical necessity for visits occurring OUTSIDE federally regulated visits. Reporting Federally Mandated Visits (CPT Codes 99307- 99310 ): Nursing Facility Care:Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Comprehensive interval history Comprehensive examination Medical decision making of HIGH complexityComprehensive Interval History: Chief complaint/reason for visit Extended history of present illness (HPI) -Extended includes four or more elements of HPI Complete review of systems directly related to the problem(s) identified in the HPI -Included medically necessary review of at least 10 body systems -Review is the patient s response to any issues or symptoms wit
- Extended includes four or more elements of HPI • Complete review of systems directly related to the problem(s) identified in the HPI - Included medically necessary review of at least 10 body systems ... CPT Code 99310 Fact Sheet Author: CGS Subject: A/B MAC J15 Created Date:
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