Initial nursing facility care, high complexity

CPT code 99305 represents an initial nursing facility care service of increased complexity. This code is utilized when healthcare providers engage in the comprehensive assessment and management of patients in a nursing facility with health concerns that demand a heightened level of complexity.

Details

CPT code:

99305

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Nursing Facility Services

Type:

New or Established Patient

In the realm of nursing facility services, 99305 is a code denoting the initiation of care with increased complexity when healthcare providers undertake the comprehensive assessment and management of patients in a nursing facility. The code is applied when healthcare encounters involve the intricate process of addressing the health concerns of patients in a nursing facility with a heightened level of complexity. Its use ensures accurate documentation and billing for the nuanced care provided during the onset of patient management in nursing facilities, where the complexity of health conditions is increased.

Under what category does Initial nursing facility care, high complexity fall?

Category I

What is the billing unit for Initial nursing facility care, high complexity?

Per Encounter

Modifiers

-

Clinical use

Nursing facility care, subsequent comprehensive assessment and management.

Documentation

Nursing facility care; comprehensive assessment and plan of care for an established patient.

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