Forum - Questions & Answers
Home Visit vs Office Visit
If a doctor who sees a patient at a "Wellness Office" inside an Assisted Living
Facility....is the visit considered Office Visit or Home Visit? Technically the patient does reside in this building. The wellness office is on the first floor...apartments are on the 2nd level.
Or does the doctor have to go to their apartment to be considered as a Home Visit?
Thanks.
stolen from the internet...just to confuse you
Regarding independent living patients seen in the on-site clinic, I would probably use a code in the 99201-99215 series, which covers services in the physician's office "or in an outpatient or other ambulatory facility." For those seen in their apartments, I believe you can code a home visit (99341-99345 and 99347-99350). The home services codes are for services provided "in a private residence," and the independent living apartments seem to fit that definition. I believe you are correct in coding visits with assisted living residents as "domiciliary or rest home" visits (99321-99323 or 99331-99333). According to CPT, these codes are for E/M services in "a facility which provides room, board, and other personal assistance services, generally on a long-term basis. The facility's services do not include a medical component." An assisted living facility would seem to fit that description.
Place of service
Sounds like a congregate residential facility with self-contained living units providing assessment of each resident’s needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services. Place of service 13.