Can a nurse practitioner perform the initial hospital visit?

Published 12/01/2020

Answer
In the inpatient hospital setting, all physicians and qualified nonphysician practitioners (where permitted) who perform an initial evaluation visit may bill initial hospital care CPT codes (99221–99223) or nursing facility care CPT codes (99304–99306).

Resource: CMS IOM 100-04, Medicare Claims Processing Manual, Chapter 12, Section 30.6.9.1.G (PDF, 1.1 MB).


Was this article helpful?