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Documentation Required for Home Visits 

CPT Codes 99341‒99350

As of 1/1/2019, CMS no longer requires providers to differentiate medical necessity for a home visit versus an office or outpatient visit. Providers no longer need to document information supporting the reason for performing the service in the patient’s home. In order to bill a home visit, it is mandatory that the billing provider be present in the home for the visit; these services are not subject to incident to billing guidelines.

Reminder

E/M services rendered in a private residence are correctly billed with CPT codes 99341‒99345 (new patient) and CPT codes 99347‒99350 (established patient), home services. These CPT codes are only payable in home settings, e.g., place of service 12.

Home visits should not be reported with E/M codes 99201‒99215, which represent office and outpatient services.

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Posted 1/11/2019

Documentation Required for Home Visits
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