CPT^® 99423, Under Online Digital Evaluation and Management Service

The Current Procedural Terminology (CPT^®) code 99423 as maintained by American Medical Association, is a medical procedural code under the range - Online Digital Evaluation and Management Service.

Additional/Related Information

Tabs

Summary

A physician or other qualified healthcare professional discusses, using online communication technologies, a health issue and possible treatment or management with an established patient. This code covers 21 or more minutes of cumulative time spent with the patient for a period of up to 7 days.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 99423 ? Start a discussion here

can online digital E&M (99421-99423) be billed for a new patient?

We were advised by a vendor that CPT 99421: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5–10 minutes can be bil... [ Read More ]

Telehealth Examination Guidelines

[QUOTE="lori.l.thompson@state.or.us, post: 502886, member: 648034"] Hoping that I can get some guidance here. During two separate audits of telehealth visits performed during the pandemic, our audito... [ Read More ]

Physical exam in a telehealth visit

[QUOTE="csperoni, post: 503303, member: 164618"] CMS issued guidance that even in 2020, telehealth could be coded on MDM only or time. From [URL]https://www.cms.gov/files/document/03092020-covid-19-fa... [ Read More ]

Physical exam in a telehealth visit

CMS issued guidance that even in 2020, telehealth could be coded on MDM only or time. From [URL]https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf[/URL] currently on page 96 (my emphasi... [ Read More ]

Can you bill for portal messages?

Hi there. I suggest reviewing the online E/M codes 99421-99423 and the HCPCS virtual code G2012. Typically you need to get the patient's consent before you can bill the service.... [ Read More ]

Telehealth

For telehealth, you must have realtime audio and video. It sounds like this service had neither. There has been advice that if the bulk of the visit occurred with video, and then failed, it is OK to... [ Read More ]

Patient Portal Visits 99421-99423

Well, you're doing yourself a disservice if you allow your patients to make refill requests. Now, hear me out. I instituted this policy at every office I've ever worked at, and for every physician I... [ Read More ]

Patient Portal Visits 99421-99423

For patient portal visits, (CPT Codes 99421-99423), if a patient uses the portal to request a prescription refill and the provider reviews the patient’s record before approving the refill and docume... [ Read More ]

TeleHealth audit

Auditing telehealth services (Video and Audio and Audio only services) Little confused, I've researched and I want to confirm. HELP During the PHE ? Video and Audio codes 99421-99423, these services ... [ Read More ]

audit tool for telehealth E/M visits

I'm starting to audit telemedicine/telehealth services.. I was advised the same, coding either on MDM or on time. Little confused, I've researched and I want to confirm. HELP :eek: During the PHE ... [ Read More ]

View All