Medicare Nursing Facility Service Codes 99304-99318

NURSING FACILITY SERVICES (CODES 99304 - 99318) (CMS MLN Matters)

CR 5986, from which this article is taken, updates the Medicare Claims Processing Manual, Chapter 12, (Physicians/Non-physician Practitioners), Section 30.6.13 (Nursing Facility Services (Codes 99304 - 99318) Subsection F (Use of the Prolonged Services Codes and Other Time-Related Services) by noting that the typical/average time units for Evaluation and Management (E/M) visit codes in the Nursing Facility Services code family are reestablished and applicable, as of January 1, 2008.

Effective for services on or after July 1, 2008, you may bill Medicare for medically necessary prolonged services for E/M visits (codes 99356 and 99357) in a SNF or NF with Nursing Facility Services codes (99304 – 99306, 99307 – 99310 and 99318). Additionally, you may use these prolonged services codes (99356 and 99357) with Nursing Facility Services in the code range (99304 – 99306, 99307 – 99310, and 99318) to bill for counseling and/or coordination of care services that are based on time.

For more information, see this article in its entirety at:
http://www.cms.hhs.gov/MLNMAttersArticles/downloads/MM5968.pdf


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