Care Services in Long-Term Residential Facility (1344)    NLM VALUE SETS (802.2)

Domiciliary or rest home visit for the evaluation and management of a new 
patient, which requires these 3 key components: A problem focused history; 
A problem focused examination; and Straightforward medical decision making. 
Counseling and/or coordination of care with other physicians, other qualified 
health care professionals, or agencies are provided consistent with the 
nature of the problem(s) and the patient's and/or family's needs. Usually, 
the presenting problem(s) are of low severity. Typically, 20 minutes are 
spent with the patient and/or family or caregiver.

Domiciliary or rest home visit for the evaluation and management of a new 
patient, which requires these 3 key components: An expanded problem focused 
history; An expanded problem focused examination; and Medical decision 
making of low complexity. Counseling and/or coordination of care with other 
physicians, other qualified health care professionals, or agencies are 
provided consistent with the nature of the problem(s) and the patient's 
and/or family's needs. Usually, the presenting problem(s) are of moderate 
severity. Typically, 30 minutes are spent with the patient and/or family 
or caregiver.

Domiciliary or rest home visit for the evaluation and management of a new 
patient, which requires these 3 key components: A detailed history; A detailed 
examination; and Medical decision making of moderate complexity. Counseling 
and/or coordination of care with other physicians, other qualified health 
care professionals, or agencies are provided consistent with the nature 
of the problem(s) and the patient's and/or family's needs. Usually, the 
presenting problem(s) are of moderate to high severity. Typically, 45 minutes 
are spent with the patient and/or family or caregiver.

Domiciliary or rest home visit for the evaluation and management of a new 
patient, which requires these 3 key components: A comprehensive history; 
A comprehensive examination; and Medical decision making of moderate complexity. 
Counseling and/or coordination of care with other physicians, other qualified 
health care professionals, or agencies are provided consistent with the 
nature of the problem(s) and the patient's and/or family's needs. Usually, 
the presenting problem(s) are of high severity. Typically, 60 minutes are 
spent with the patient and/or family or caregiver.

Domiciliary or rest home visit for the evaluation and management of a new 
patient, which requires these 3 key components: A comprehensive history; 
A comprehensive examination; and Medical decision making of high complexity. 
Counseling and/or coordination of care with other physicians, other qualified 
health care professionals, or agencies are provided consistent with the 
nature of the problem(s) and the patient's and/or family's needs. Usually, 
the patient is unstable or has developed a significant new problem requiring 
immediate physician attention. Typically, 75 minutes are spent with the 
patient and/or family or caregiver.

Domiciliary or rest home visit for the evaluation and management of an 
established patient, which requires at least 2 of these 3 key components: 
A problem focused interval history; A problem focused examination; Straightforward 
medical decision making. Counseling and/or coordination of care with other 
physicians, other qualified health care professionals, or agencies are 
provided consistent with the nature of the problem(s) and the patient's 
and/or family's needs. Usually, the presenting problem(s) are self-limited 
or minor. Typically, 15 minutes are spent with the patient and/or family 
or caregiver.

Domiciliary or rest home visit for the evaluation and management of an 
established patient, which requires at least 2 of these 3 key components: 
An expanded problem focused interval history; An expanded problem focused 
examination; Medical decision making of low complexity. Counseling and/or 
coordination of care with other physicians, other qualified health care 
professionals, or agencies are provided consistent with the nature of the 
problem(s) and the patient's and/or family's needs. Usually, the presenting 
problem(s) are of low to moderate severity. Typically, 25 minutes are spent 
with the patient and/or family or caregiver.

Domiciliary or rest home visit for the evaluation and management of an 
established patient, which requires at least 2 of these 3 key components: 
A detailed interval history; A detailed examination; Medical decision making 
of moderate complexity. Counseling and/or coordination of care with other 
physicians, other qualified health care professionals, or agencies are 
provided consistent with the nature of the problem(s) and the patient's 
and/or family's needs. Usually, the presenting problem(s) are of moderate 
to high severity. Typically, 40 minutes are spent with the patient and/or 
family or caregiver.

Domiciliary or rest home visit for the evaluation and management of an 
Typically, 60 minutes are spent with the patient and/or family or caregiver.
established patient, which requires at least 2 of these 3 key components: 
A comprehensive interval history; A comprehensive examination; Medical 
decision making of moderate to high complexity. Counseling and/or coordination 
of care with other physicians, other qualified health care professionals, 
or agencies are provided consistent with the nature of the problem(s) and 
the patient's and/or family's needs. Usually, the presenting problem(s) 
are of moderate to high severity. The patient may be unstable or may have 
developed a significant new problem requiring immediate physician attention.