Wiki Telepsych Medication Management

KMilsap

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Can somebody please tell me how I should be coding visits for Telepsychiatry where a Physician is seeing a patient for Medication Management? My gut tells me to go with an E/M instead of 90832, but the CPT book says that in order to use an E/M, it must be a face-to-face visit ... is Telehealth considered face-to-face? Any help and input would be appreciated! Thanks in advance
 
Your gut is correct. It you look in your CPT book, there is a symbol (star) next to the E/M codes 99201-99215. This symbol indicates these codes may be used to report telemedicine when appended by modifier 95. You can also reference Appendix P in your book for the codes that can be used.
 
Some payers may require the use of modifier GT, so it is always important to always check with the individual payer.
 
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