Subsequent nursing facility care, per day 99307 99308 99309 99310
History Prob Focused Exp. Prob Focused Detailed Comprehensive
Exam Prob Focused Exp. Prob Focused Detailed Comprehensive
MDM  Straightforward  Low complexity Moderate high complexity.
Presenting Problem Stable, recovering or improving Responding inadequately Significant new problem. significant new problem req immed. attention
Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. (Same for all)

                             Requires Two of Three (3) key components.

99307 Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least two of these three key components:

a problem focused interval history;
a problem focused examination;
straightforward medical decision making.
Counseling and/or coordination of care with other providers 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.

99308 Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least two of these three 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 providers 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.

99309 Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least two of these three key components:

a detailed interval history;
a detailed examination;
medical decision making of moderate complexity.
Counseling and/or coordination of care with other providers 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.

99310 Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least two of these three key components:

Hx: comprehensive interval history;
Exam: comprehensive examination;
medical decision making: high complexity.
Counseling and/or coordination of care with other providers 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.