telehealth/telemedicine

  1. K

    Wiki Billing CPT 99477 with Modifier 95

    I am looking for guidance on billing telemedicine services for a split/shared visit with a Physician working remotely and the NNP in person at the bedside with the patient. I'm finding conflicting answers on if I can use Mod 95 with cpt code 99477. I also am unsure if we would change our pos...
  2. C

    Wiki MA Performing Physical Exam via Telehealth

    I work at a third party billing company as a medical coder and biller. It has come to my attention that one of our clients has been "performing" physical exams in a way I've never heard of. My manager says this is completely okay to do, but I'm just wanting to make sure. So... The provider in...
  3. D

    Wiki telemedicine billing for insurance/medicaid, patient located out of state

    Good afternoon all, Was just wondering what leeway we have with a situation like this. A patient had a telemedicine visit with one of our providers and notified us after the appointment that they were located out of state. Are we still able to bill insurance/Colorado medicaid for this...
  4. O

    Wiki Telehealth codes for monthly program delivery

    What procedure codes are used for when billing for a Mental Health or Chemical dependency program similar to how IOP is set up, but delivered as telehealth with none of the visits in person. These are for programs that include several visits with psychiatrists, counselors and other clinical...
  5. B

    Wiki what CPT to use for anesthesia pre-op visits up to 30 days prior to surgery for CVT visits?

    I am being asked how to code a pre operative visit for anesthesia, outside of 72 hr rule, for CVT/telehealth visits. Would a regular E/M code be used with modifier 95 or a G2211?
    • Babs91
    • Thread
    • pre-op telehealth/telemedicine
    • Replies: 1
    • Forum: Anesthesia
  6. M

    Wiki Virtual PT Evaluation

    Hi helpful community! We have an insured client that, due to covid, had to start her care via virtual visit. I'm not sure how to code for the evaluation as I'm not finding any virtual E/M codes for a new patient. Ideas? I know of 99499, but I'm hoping there is something more specific for...
    • MandyMW1
    • Thread
    • evaluation & management physical therapy telehealth/telemedicine telephone evaluation virtual
    • Replies: 0
    • Forum: E/M
  7. F

    Wiki Can you bill a Telehealth Visit and an office visit the same day by the same provider? 99212, 99214

    The provider did a telehealth visit and the patient came in to see the nurse, the provider wants to bill for the telehealth visit and the nurse visit on the same day? I am fairly new to Telehealth, is this appropriate? please provide a link to support to show provider.
  8. L

    Wiki Self reported height and weight and BMI/obesity code selection

    Hello! As we now live in the telehealth world, I have a question about self reported measures. Is it allowable to select a BMI code and an obesity code (following the guidelines) from a patient's self reported height and weight? Is it permissible to code and bill?
  9. HGILHAM

    Wiki Telehealth visit and other services rendered on the same day (eg. X-Ray, Rapid Strep)

    If a patient has a telemedicine/telehealth visit and the provider places an order for the patient to come into the clinic the same day for an X-Ray or a Rapid Strep test, should we bill the codes on one claim noting two separate place of services (POS) OR should we bill two separate claims for...
  10. J

    Wiki Inpatient Hospital Billing for Telehealth - HELP

    Can anyone please inform me if any of their MD's are seeing patient's remotely from home and using telehealth/telemedicine charges. If so what are you using to bill to the insurances G0406-G0408? or should they bill NP consult via telemed/health as 99446-99449 Thank You for support guys!!!
  11. A

    Wiki What CPT for Virtual Visit for a new patient

    Our office in some cases is seeing new patients via virtual visit / telehealth. Were using 99421 but receiving denials as this code specifies established patient. Anyone know what code should be used for a new patient?
  12. M

    Wiki Billing for Telephone Encounter

    Looking for guidance in how to bill for the following: COVID-19 precautions today. Distancing practiced. Hand wash in and out patient and physician if patient was roomed. Physician wearing mask. Today patient interview was conducted over the phone. Patient checked in, pill count was done...
  13. T

    Wiki I need detailed description of telecommunications for Medicare telehealth/telemedicine.

    Does a telephone call only suffice for Medicare Telehealth E&M billing 99201-99215? Or does it HAVE to be a 2-way audio & video system?
  14. rthomas@impcna.com

    Wiki New Patients Telehealth

    Has anyone seen anything about the waiver allowing providers to see new patients via Telehealth?
  15. N

    Wiki Telehealth Billing

    I am wondering if anyone has any guidance or recommendation on billing virtual telecommunication visits? How to bill (codes, modifiers, ect...)? Payer reimbursement? Any information would help! Thanks in advance for any information!
  16. N

    Wiki Telecommunication Billing

    I am wondering if anyone has any guidance or recommendation on billing virtual telecommunication visits? How to bill (codes, modifiers, ect...)? Payer reimbursement? Any information would help! Thanks in advance for any information!
  17. A

    Wiki Coding Telemedicine

    I work in an FQHC facility. A couple of our Dr's use a synchronous method. We are the originating site. I heard FQ's can't bill for telemedicine or do we need to use a GT modifier? Or should we just drop the CPT codes like normal and add Q3014?
  18. A

    Wiki Telemedicine Orginating Site Fee Diagnosis Code

    Hello! What diagnosis code is appropriate for billing the originating site fee (Q3014)? Should it be the first-listed diagnosis of the distant site claim? Thanks, Alysoun
  19. J

    Wiki Billing telemedicine visit hosting on same day as on office visit.

    We have a practice that is willing to unscheduled dermatology consults via telemedicine for our patients. I am wondering if we can bill for both an office visit and the hosting of the telemedicine visit (Q3014)on the same day. Has anyone had this experience before? Thanks, Carol
    • jankc
    • Thread
    • telehealth/telemedicine
    • Replies: 1
    • Forum: E/M
  20. B

    Wiki Telemedicine Telehealth Denials Aetna Texas

    Hi all, This is my first time posting, so I hope I'm in the right forum and also not repeating someone else's question. This question is specifically for Aetna in Texas but any feedback is appreciated. I am getting no where fast when trying to get reimbursement from Aetna for Televisits...
  21. R

    Wiki Telehealth shared/split visits?

    Hi, My supervisor is wondering if a telehealth service is rendered where the PA performs the history or present illness, review of systems, overall history and exam and the MD performs the MDM portion, who would be the billing provider in this scenario? Would anyone happen to know if it is...
  22. N

    Wiki Telemedicine visit

    Hello, I am getting differing answers so thought I would see if anyone had any insight. How would you code for a 30 minute telemed appt, with Premera as the payor? If it was a face to face visit, it would be 99214. Thanks in advance!
  23. C

    Wiki Triage telephonically by physician

    Please tell me what the CPT code is for when Triage is performed over the phone, meaning telephonically. Scenerio: worker gets injured, calls 800 number for a telemedicine company that performs triage and emergent care. Injured worker speaks to an ER doctor who tells them to apply hot pack, take...
  24. H

    Wiki Telehealth/Telemedicine

    Does anyone use Telehealth/telemedicine to provide non face to face visits to patients? If so what are the guidelines you follow and are you reimbursed? Can this service only be provided to rural health professional shortage area?
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