Nursing Facility Services

INITIAL NURSING FACILITY CARE

99304—The three following components are required: 

• Detailed or comprehensive history 

• Detailed or comprehensive examination 

• Medical decision making that is straightforward or of low complexity 

Problem(s) requiring admission: Low severity 

Typical time: 25 minutes with patient and/or family or caregiver 

99305—The three following components are required:

 • Comprehensive history 

 • Comprehensive examination 

 • Medical decision making of moderate complexity 

Problem(s) requiring admission: Moderate severity 

Typical time: 35 minutes with patient and/or family or caregiver

 99306—The three following components are required: 

• Comprehensive history

• Comprehensive examination 

• Medical decision making of high complexity 

Problem(s) requiring admission: High severity 

Typical time: 45 minutes with patient and/or family or caregiver

SUBSEQUENT NURSING FACILITY CARE 

99307—Two of the three following components are required: 

• Problem-focused interval history 

• Problem-focused examination 

• Medical decision making that is straightforward 

Presenting problem(s): Patient usually stable, recovering, or improving 

Typical time: 10 minutes with patient and/or family or caregiver 

99308—Two of the three following components are required: 

• Expanded problem-focused interval history 

• Expanded problem-focused examination 

• Medical decision making of low complexity 

Presenting problem(s): Patient usually responding inadequately to therapy or has developed a minor complication 

Typical time: 15 minutes with patient and/or family or caregiver 

99309—Two of the three following components are required: 

• Detailed interval history

• Detailed examination 

• Medical decision making of moderate complexity 

Presenting problem(s): Patient usually has developed a significant complication or a significant new problem 

Typical time: 25 minutes with patient and/or family or caregiver 

99310—Two of the three following components are required: 

• Comprehensive interval history 

• Comprehensive examination 

• Medical decision making of high complexity 

Presenting problem(s): Patient may be unstable or may have developed a significant new problem requiring immediate physician attention 

Typical time: 35 minutes with patient and/or family or caregiver