An 82-year-old woman is admitted to a nursing facility for rehabilitation after having had a stroke. The admitting physician spent 35 minutes at the nursing home completing a comprehensive history and examination and moderate complexity medical decision making. What evaluation and management CPT code should be used for this patient?

Question

Quizplus · Accepted Answer

99305 is the correct code for the initial nursing facility care evaluation and management requiring a comprehensive history and examination as well as moderate-complexity medical decision making requiring 35 minutes of time at the nursing facility or by the patient's bedside.
Code 99304 is incorrect because this code is for a low-complexity or straightforward medical decision making evaluation and management of initial nursing facility care. Code 99306 is incorrect because this code is for an initial evaluation and management of a patient at a nursing facility that requires high-complexity medical decision making. Code 99307 is incorrect because this code is for subsequent visits and not the initial evaluation and management visit to the nursing facility.

An 82-Year-Old Woman Is Admitted to a Nursing Facility for Rehabilitation