CPT Codes For New Or Established Patient Comprehensive Nursing Facility Assessments

Below is a list summarizing the CPT codes for new or established patient comprehensive nursing facility assessments.

CPT Code 99304

CPT 99304 describes initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making, with a total time on the date of the encounter of at least 25 minutes.

CPT Code 99305

CPT 99305 describes initial nursing facility care per day for the evaluation and management of a patient, requiring a medically appropriate history and/or examination and a moderate level of medical decision-making, with a total time on the date of the encounter at least 35 minutes.

CPT Code 99306

CPT 99306 describes initial nursing facility care per day for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and a high level of medical decision-making, with a total time on the date of the encounter of 45 minutes or more.

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