CPT procedure code
CPT 99304: Initial nursing facility care, low MDM, 25 min
Procedure code with common scenarios, denial patterns, and appeal guidance.
Code
99304
Category
EM
Common scenarios
- Initial NF low
- Initial nursing facility low
Common denial patterns
- Missing PA where required
- Wrong POS or modifier
Frequently asked questions
What is CPT 99304?
Initial nursing facility care, low MDM, 25 min
When is it typically billed?
Initial NF low; Initial nursing facility low.
What are common denial reasons?
Missing PA where required; Wrong POS or modifier.
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