We are a group practice that has a few Dr.’s, NP’s and PA’s in an outpatient mental health professional office setting.

If one of our PA’s or NP’s sees patients in a nursing home outside of the office setting for medication management (E/M) what CPT codes would be used and would there be modifiers needed?

In the office setting we would normally use the E/M codes, so would these still be used (99211-99215) with modifiers in the nursing home(assisted living facility)? Or should the nursing facility services codes be used? Which CPT codes should we be using?