Earn as much as $25.48 for phone calls not part of a face-to-face visit. Physicians and their patients spend more and more time on the phone for consultations these days, but is this service a no-no? If you're asking whether or not you can make money out of this service, the answer is yes. Then again, just like other consultation codes, you have to stick to some guidelines. Downside: When you bill for telephone services, you would typically do so using two sets of codes: 99441-99443 (Non-face-to-face physician telephone services), which are for phone services by physicians; and 98966-98968 (Non-face-to-face nonphysician telephone services), which are for services by "qualified non-physician healthcare professionals." These code sets debuted in 2008, and replaced the complexity-based telephone call codes (99371-99373, Telephone call by a physician to patient or for consultation or medical management or for coordinating medical management with other healthcare professionals ...). Some payers are actually agreeing to pay for it, said Penny Noyes, president and CEO of Health Business Navigators in Bowling Green, Ky., in an article How To Get Paid For Care Delivered Over The Phone on amednews.com (American Medical News) published on Feb. 1, 2010. If you find phone consultations becoming a real issue for your practice, you should consider billing these services, provided you adhere to these rules: 1. Bill these codes only for the purpose of medical discussion not related to an E/M service that was provided within the last seven days and does not lead to an office visit within the next 24 hours or earliest possible date. 2. Make sure the provider who took the call document the phone conversation. Document it like an in-person visit, with particular notation of the time spent, says the amednews.com article. 3. Take note of the existing fee schedule for these codes and use them to determine what fee you will charge your patients for these codes. Although Medicare does not pay for these codes, you can expect to be paid the following figures: 4. Don't forget that the patient must initiate the call in order for you to bill the service. 5. Limit the coverage of these services for established patients only. Example: Bottom line: