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Table 1 Claims codes screened for nursing home admission incidents

From: Validation of a method for identifying nursing home admissions using administrative claims

Code Description
Provider type codes
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