Table 17.3—Billing Codes and Reimbursement for Home Visits
|
|
New Patients |
|
Established Patients |
|
||
|
|
Codes |
Reimbursement |
|
Codes |
Reimbursement |
Requirements |
|
|
99341
|
$ 54.00 |
|
99347 |
$ 41.00 |
Problem-focused history and examination, straightforward medical decision making |
|
|
99342
|
$ 81.00 |
|
99348 |
$ 69.00 |
Expanded problem-focused history and physical examination with medical decision making of low complexity. Generally 30 minutes spend with patient or family. |
|
|
99343 |
$121.00 |
|
99349 |
$107.00 |
Detailed history and examination; medical decision making of moderate complexity. Typically about 45 minutes. |
|
|
99344
|
$158.00 |
|
99350 |
$156.00 |
Comprehensive history and examination with medical decision making of moderate complexity. Time about 60 minutes. |
|
|
99345 |
$193.12 |
|
|
|
Above plus medical decision making of high complexity. Time about 75 minutes. |
SOURCE: Data from the 2005 American Medical Association Current Procedures and Terminology (CPT) booklet.