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Editor's Choice Can a physician practice open an office in a nursing home? Physician visits in a nursing home are billed with nursing facility codes and place of service. But, what if a physician opens an office there?  Are those services billed as office visits? A physician practice may established an office in a nursing home, if it pays rent at market value, and is used by the physician for the rental period.  The physician must be responsible for expenses that would be typical in the office:  supplies and staffing.  The rental agreement wi ... Read More Can we bil a low level E/M with every procedure? Can’t we bill a low level E/M with every procedure? No!   Medicare says this: Per CCI (chapter 11, Letter R.): “The decision to perform a minor surgical procedure is included in the payment for the minor surgical procedure and should not be reported separately as an E/M service.  However, a significant and separately identifiable E/M service unrelated to the decision to perform the minor surgical procedure is separately reportable with modifier -25.” Physicians wh ... Read More Subsequent nursing home visits Subsequent nursing facility visits are reported with codes 99307--99310.  These codes are defined as per day codes, and do not have new and established patient divisions.  There are also initial nursing facility codes, which only a physician may use.  A physician or NPP may use the subsequent facility codes, either before or after the initial service (the admission) is performed.  It is often the case that an NPP sees the patient before the physician, in order to write ... Read More The mission of Codapedia™ is to build a community of volunteers (Codapedists) to create the world’s best and most comprehensive resource for coding and reimbursement for physician services.  Codapedia™ will be 100% free, with costs underwritten by advertising.