CPT^® 99345, Under New Patient

The Current Procedural Terminology (CPT^®) code 99345 as maintained by American Medical Association, is a medical procedural code under the range - New Patient.

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Summary

The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75 minutes of total time on the encounter on a single date.

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Modifier 25 with 99223 and 99497

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99443 Telephone evaluation and management with Non face-to-face prolonged services (CPT codes 99358‒99359)

[QUOTE="Melissa Zeitz, post: 487199, member: 14955"] [B]Is it ok to use a non-face-to-face prolonged care code for [/B]30 min+ spent in addition to a phone code 99443 (30 minutes)? I thought this code... [ Read More ]

Visiting Physicians

We have a visiting Physicians business. The cost of running the operation is pretty high as the reimbursement are not adequate it seems. Is there an expert that can guide us through what are all the ... [ Read More ]

Telemedicine - At home codes

Hi there, as far as I'm concerned 99341-99345 are Home Visits, therefore place of service needs to be home (12). POS (2) indicates services were done via telecommunication. As far as MOD goes, MOD (95... [ Read More ]

Telemedicine - At home codes

Does anyone know anything about Telehealth - E & M codes 99341-99345. What would be the appropriate POS code for Telehealth for this code 12 or 2? I could not find anything on the CMS website abo... [ Read More ]

New vs. Est

In researching this question, I also have learnt something new. Per: [URL='https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00097341'][COLOR=rgb(226, 80, 65)]Modifier ... [ Read More ]

CMS Addition of Home Visit Codes during COVID-19

Recently, CMS added codes 99341-99345, 99347-99350. (Home Visits) to the list of covered Telehealth Services during the PHE. We have an office that wants to go back and resubmit these codes to replac... [ Read More ]

Palliative Care coding

We use the E&M codes by where the patient is being seen. 99221-99223, 99324-99328, 99304-99310, 99341-99345, 99347-99350.... [ Read More ]

Major Joint/Tendon Sheath Injections done in the home setting (POS 12)

We have a pain management Dr. who wants to bill a house call visit (99341-99345) with a major joint injection and tendon sheath injection (20610 and 20550); is that a billable procedure if it is done ... [ Read More ]

Interactive Complexity- When it is okay to bill clarification

I found this under the lay terms for 90785. Hopefully this is helpful. Lay Terms This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of s... [ Read More ]

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