CPT codes for House Calls
May 27, 2008 by bcp
Filed under Coding, General, NP Practice
I’ve been getting lots of questions about coding for House Calls, and what codes to use. Here are the current codes that are listed for house calls as well as codes used for assisted living.  For the exact details of what is included with each code, please check your CPT manual.
| Â Code | Description |
| 99324 - 99328 | Domiciliary or rest home visit for the evaluation and management of a new patient |
| 99334 - 99337 | Domiciliary or rest home visit for the evaluation and management of an established patient |
| 99341-99345Â Â | Home visit for the evaluation and management of a new patient |
| 99347 -99350 | Domiciliary or rest home visit for the evaluation and management of an established patient |
You will need to visit your Medicare provider in order to get the current rates from Medicare. If you are unsure who is your intermediary, check your copy of the Nurse Practitioner Business Resource Directory. I have included a full list of providers from around the US. It was current as of the publication date.
Thanks for posting these codes. I do not have a cpt manual (as far as I know). I see there are ranges for the codes, how do you know which code to use?
paula
Paula,
The guidelines for use of the codes are listed in the CPT book. I cannot publish the entire thing as the AMA owns the rights to the codes and frowns on unlicensed duplicaiton of their codes.
In general, the lower codes are less complicated visits and thus less documentation, while the higher codes are for more complicated visits. There is also a difference between new and established visits.
Your employer should have a CPT book available for you to use. These books change every year, and it’s important that you have updated codes - both ICD9 and CPT.
If you are self employeed, it is essential you have proper coding references available to you. I get my books along with my subscription of http://www.FlashCode.com. It’s well worth the price for me.
There are several books you can purchase. I use this one, again, for me, the ICD9, HCPCS and CPT book is included with my subscription to FlashCode.
Let us know if you can get your hands on a CPT manual.
Barbara