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Resolved Home visit codes

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Can anyone point me in the direction of a clear straightforward breakdown (video or documentation ) of the different elements in home visit codes (as far as the different types of histories & examinations - problem focused , expanded etc etc ,& MDM) -I’m ok with office visit E/M but get lost with home visits…… for instance 99347 and all codes under this code familiy is what I’m referring to
 

Medical Coding for Home Healthcare​




New patient CPT codes

99341 – Home visit for the evaluation and management of a new patient. This visit requires the following three components:

  1. A problem-focused history
  2. A problem-focused exam
  3. Straightforward medical decision making

Counseling and/or coordination of care with other physicians, other qualified health care professionals, or other agencies are provided consistent with the nature of the problem(s) and the patients’ and/or family’s needs.

Usually, the presenting problem(s) are of low severity. Typically, the physician spends 20 minutes face-to-face with the patient and/or family.

99342 – Same as above, but this is a moderate severity problem requiring 30 minutes.

99343 – Moderate to high severity problem requiring 30 minutes.

99344 – High severity problem requiring 60 minutes.

99345 – Patient unstable or has a significant new problem requiring immediate attention (75 minutes).

Established patient CTP codes

99347 – Home visit for evaluating and managing an established patient. The visit requires at least two of these three key components.

  1. A problem-focused interval history
  2. A problem-focused examination
  3. Straightforward medical decision making

Counseling and/or coordination of care with other physicians, other qualified health care professionals, or other agencies are provided consistent with the nature of the problem(s) and the patients’ and/or family’s needs.

Usually, the presenting problem(s) are self-limited or minor. Typically, you spend 15 minutes face-to-face with the patient and/or family.

99348 – Same as above, but this problem is low to moderate severity requiring 25 minutes face-to-face.

99349 – Moderate to high problem requiring 40 minutes.

99350 – Patient unstable or has a significant new problem requiring immediate physician attention (60 minutes).

When making a house call, you may offer additional services such as advanced care planning, diagnosis services, or other minor procedures. These can be documented and billed in addition to the visit code.


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Home Health Coding thread:





Free CCO E/M tools:

E&M Audit Tool For Office, Hospital, Home, Care Plan Oversight or Misc. Services: Click Here to Download
E&M Audit Tool For Outpatient Office Visits: Click Here to Download
 
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