CPT 99315, CPT 99316, CPT code 99315, CPT code 99316, 99315 CPT code, 99316 CPT code, 99315 CPT, 99316 CPT

CPT 99315 & CPT 99316 (Nursing Facility Discharge Services)

CPT 99315 and CPT 99316 can be billed for the final discharge of patients from a nursing facility. Report CPT code 99315 if the total time was thirty minutes or less and CPT code 99316 if the total time was more than thirty minutes.

1. CPT 99315

CPT code 99315 can be reported for a facility discharge day management service. This code includes the total time a provider has spent on the final discharge of a patient from a nursing facility.

1.1 Description

CPT 99315 is officially described by the CPTs manual as: “Nursing facility discharge day management; 30 minutes or less.”

1.2 Procedure

The provider reports all his services related to the final discharge of a patient from a nursing facility. The code is for 30 minutes or less of the provider’s time.

It includes such services as the final examination of the patient, discussion of the nursing facility stay and continuing care instructions with the patient, family, or relevant caregivers, and preparation of discharge records, prescriptions, and referral forms.

1.3 Billing Guidelines

CPT code 99315 covers the services described above, even if the time spent by the provider on that date is intermittent.

CPT 99315 also applies when there is no face–to–face encounter;

  • due to an emergency transfer to an acute care setting,
  • due to death, or
  • due to the provider completing the discharge assessment and planning in the days immediately before the actual discharge.

The maximum time of CPT 99315 is 30 minutes or less. Report 99316 if the total time is more than 30 minutes.

2. CPT 99316

CPT code 99316 can also be reported for the total time a provider has spent on the final discharge of patients from a nursing facility.

2.1 Description

CPT code 99316 is described by the CPTs manual as: “Nursing facility discharge day management; more than 30 minutes.”

2.2 Procedure

All the services related to the final discharge of patients from a nursing facility need to be reported. Report this CPT code 99316 if the total time of the services is more than 30 minutes.

2.3 Billing Guidelines

The services included in CPT 99316 are described in the billing guidelines of CPT 99315.

Bill CPT 99316 if the total time spent on the final discharge of a patient is exceeds thirty minutes. Suppose the total time is 30 minutes or less, report CPT 99315.

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