Table 1 Claims codes screened for nursing home admission incidents

30

Long term care facility

31

Extended care facility

32

Geriatric hospital

33

Convalescent care facility

34

Intermediate care facility

Place of service codes

27

Inpatient long term care

31

Skilled nursing facility

32

Nursing facility

33

Custodial care facility

Procedure codes

99301

Evaluation and management of a new or established patient involving an annual nursing facility assessment: 30 minutes at the bedside.

99302

Evaluation and management of a new or established patient involving an annual nursing facility assessment of a complication or a new problem: 40 minutes at the bedside.

99303

Evaluation and management of a new or established patient involving an annual nursing facility assessment at the time of initial admission to the facility: 50 minutes at the bedside.

99311

Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient: 15 minutes at the bedside.

99312

Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient who is responding inadequately to therapy or has developed a minor complication: 25 minutes at the bedside.

99313

Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient who has developed a significant complication or a new problem: 35 minutes at the bedside.

99315

Nursing facility discharge day management; 30 minutes or less

99316

Nursing facility discharge day management; more than 30 minutes

99379

Physician supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care; 15–29 minutes

99380

Physician supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities; 30 minutes or more

G0066

Physician supervision of a nursing facility patient (patient not present); 30 minutes or more per month

99199

Unlisted special service, procedure or report

99321

Domiciliary or rest home visit for the evaluation and management of a new patient; the presenting problems are of low severity

99322

Domiciliary or rest home visit for the evaluation and management of a new patient; the presenting problems are of moderate severity

99323

Domiciliary or rest home visit for the evaluation and management of a new patient; the presenting problems are of high complexity

99331

Domiciliary or rest home visit for the evaluation and management of a new patient; the patient is stable, recovering or improving

99332

Domiciliary or rest home visit for the evaluation and management of a new patient; the patient is responding inadequately to therapy or has developed a minor complication

99333

Domiciliary or rest home visit for the evaluation and management of a new patient; the patient is unstable or has developed a significant complication or a significant new problem