Nursing Facility Visit (1609)    NLM VALUE SETS (802.2)

Initial nursing facility care, per day, for the evaluation and management 
of a patient, which requires these 3 key components: A detailed or comprehensive 
history; A detailed or comprehensive examination; and Medical decision 
making that is straightforward or 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 problem(s) 
requiring admission are of low severity. Typically, 25 minutes are spent 
at the bedside and on the patient's facility floor or unit.

Initial nursing facility care, per day, for the evaluation and management 
of a 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 problem(s) requiring admission are of moderate severity. Typically, 
35 minutes are spent at the bedside and on the patient's facility floor 
or unit.

Initial nursing facility care, per day, for the evaluation and management 
of a 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 problem(s) requiring admission are of high severity. Typically, 45 
minutes are spent at the bedside and on the patient's facility floor or 
unit.

Subsequent nursing facility care, per day, for the evaluation and management 
of a 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 patient is stable, recovering, or improving. 
Typically, 10 minutes are spent at the bedside and on the patient's facility 
floor or unit.

Subsequent nursing facility care, per day, for the evaluation and management 
or unit.
of a 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 patient is responding 
inadequately to therapy or has developed a minor complication. Typically, 
15 minutes are spent at the bedside and on the patient's facility floor 

Subsequent nursing facility care, per day, for the evaluation and management 
of a 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 patient has developed a significant complication or a significant 
new problem. Typically, 25 minutes are spent at the bedside and on the 
patient's facility floor or unit.

Subsequent nursing facility care, per day, for the evaluation and management 
of a patient, which requires at least 2 of these 3 key components: A comprehensive 
interval history; A comprehensive examination; 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. 
The patient may be unstable or may have developed a significant new problem 
requiring immediate physician attention. Typically, 35 minutes are spent 
at the bedside and on the patient's facility floor or unit.