The fee rules for long-term care facility visits state that 00114 is only billable every 2 weeks. How do I bill if something changes with the patient’s status and an extra visit is needed?

As per Preamble D. 4. 9., long-term care visits may be made to a maximum every 2 weeks, and a face-to-face encounter must be made when billing a visit fee. 

• If you are specially called to see a patient in long-term care between 0800 and 2300 any day of the week, bill 00115 Specially Called Long-Term Care Visit (patient seen 0800 – 2300 hrs, any day).  You must see the patient within 24 hours of the request and no other call-out charge is applicable.
• If on a proactive long-term care facility visit (00114) or after a specially called visit (00115), you determine a follow-up visit is necessary sooner than 14 days,  submit 00114 for that follow up visit and include a claim note record explaining the medical necessity. Note: In this case, the 14 day clock restarts from the date of the extra visit. If you are clustering your visits around a specific 2 week cycle, for the first visit back in that cycle after the extra one, it would be necessary to submit a claim note record indicating why less than 14 days has elapsed from the previous extra visit.