Nursing Facility Services

Current Procedural Terminology (CPT) codes for nursing facility services (Codes 99304 – 99318) address the following areas of service:

  1. Visits to Perform the Initial Comprehensive Assessment and Annual Assessments;

  2. Visits to Comply with the Code of Federal Regulations (CFR) (42 CFR 483.40 (c) (1)) in the Skilled Nursing Facility (SNF) and Nursing Facility (NF);

  3. Visits by Qualified Non-Physician Practitioners (NPP);

  4. Medically Complex Care;

  5. Incident To Services;

  6. Use of the Prolonged Services Codes and Other Time-Related Services;

  7. Counseling and Coordination of Care Visits;

  8. Gang Visits;

  9. Split/Shared Evaluation and Management (E/M) Visit; and

  10. Skill Nursing Facility (SNF) and Nursing Facility (NF) Discharge Day Management Services.

CPT only copyright 2007 American Medical Association. All Rights Reserved.

MCPM CH 12
Pub. 100-04, C12, S30.6.13

Last Updated: May 2008