Definition:
CPT® code 99348 describes a subsequent care visit for a patient in a nursing facility. This code is used for follow-up visits where the provider spends approximately 30 minutes reviewing the patient’s condition, monitoring treatment plans, and coordinating ongoing care.
When to Use:
- For established nursing facility patients who require follow-up evaluation.
- When the visit involves reviewing progress, lab results, medications, or therapy plans.
- Appropriate for moderate-complexity care, including coordination with facility staff or family.
Documentation Requirements:
To support billing for CPT® 99348, clinicians should document:
- Date and location of service.
- Relevant history and physical assessment since the last visit.
- Updates on treatment plans, medication changes, or care coordination.
- Time spent providing care and any counseling provided to the patient or caregivers.
Key Notes:
- CPT® 99348 is for subsequent visits; initial nursing facility visits use codes 99304–99306.
- Accurate documentation is essential for compliance and reimbursement.
- Time-based coding may be used if the visit duration is significant.
How OptiMantra Supports 99348:
OptiMantra’s EMR and practice management platform allows providers to track patient progress in nursing facilities, document detailed follow-up notes, and automatically generate clean claims. Customizable templates and integrated billing tools make it easier to ensure accurate coding and seamless reimbursement.
Try OptiMantra for free here!
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