Evaluation And Management
Chapter 2
Section 3.1
Skilled Nursing Facility
(SNF) Visits
Issue Date: March 3, 1992
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision:
1.0 CPT
PROCEDURE CODES
99304 - 99310, 99315, 99316,
and 99318
Note: Effective 1 January 2006, The American
Medical Association Current Procedural Terminology (CPT) evaluation
and management service codes (visit codes) were revised. The old
90000 series were replaced by a new CPT 90000 series. The new codes
are valid for claims processing for claims submitted on or after
January 1, 2006.
2.0 DESCRIPTION
Nursing facilities (formerly called Skilled
Nursing Facilities (SNFs), Intermediate Care Facilities (ICFs),
or Long-term Care Facilities (LCFs)) are places of residence for
people who require constant nursing care and have significant Activity
of Daily Living (ADL) deficiencies. Residents include the elderly
and younger adults with physical disabilities. Adults 18 or older
can stay in a skilled nursing facility to receive physical, occupational,
and other rehabilitative therapies following an accident or illness.
3.0 POLICY
SNF visits are covered when provided by an
authorized provider for the diagnosis or treatment of a specific
illness or condition or set of symptoms.
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