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.