Starting with claims for services on January 1, 2023, the 2 E/M visit families titled “Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services” and “Home Services” are now 1 E/M code family. The new family is titled “Home or Residence Services.” Use the codes in this family to report E/M services you provide to a patient in:
- Their home or residence
- An assisted living facility
- Group home (that isn’t licensed as an intermediate care facility for individuals with intellectual disabilities)
- Custodial care facility
- Residential substance abuse treatment facility
There are no changes to the included care settings from each respective family, rather the current care settings for each of the current families are in the new, merged family.
This change deletes CPT codes 99324-99337. The following place of service (POS) codes for CPT codes 99341-99350 show the merger of the domiciliary visit codes with the home visit codes:
- Home (POS 12)
- Assisted Living Facility (POS 13)
- Group Home (POS 14)
- Custodial Care Facility (POS 33)
- Residential Substance Abuse Treatment Facility (POS 55)
Source: U.S. Centers for Medicare & Medicaid Services (CMS)
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