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TRICARE Policy Manual 6010.60-M, April 1, 2015
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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