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Evaluation and Management/Telemedicine Services
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20
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Synchronous audio E/M services for established patients (98012-98015). List of codes that can’t be reported on the same day.
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Evaluation and Management/Prolonged Services
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34
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Prolonged E/M service (99358-99359). Don’t report telemedicine services on the same day.
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36
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Prolonged outpatient E/M service. (99417). Telemedicine codes 98003, 98007, 98011 and 98015 in the section’s guidelines.
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Evaluation and Management/Preventive Medicine Services
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39
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Preventive medicine services (99381-99397). Report a separate telemedicine service with modifier 25, when appropriate.
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Evaluation and Management/Non-Face-to-Face Services
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42
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Telephone services. Report a 5-to-10-minute telephone call for established patients with 98016 in place of 99441. Report an appropriate new or established patient audio code in place of 99442 and 99443.
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Telephone services. Report audio and virtual check-in services in place of deleted telephone E/M codes (99441-99443).
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43
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Online digital E/M services (99421-99423). Don’t report a telemedicine service on the same day.
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43
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Interprofessional telephone/internet/EHR consultations (99446-99449 and 99451-99452). You may use any telemedicine service to report consultant communications with a patient and/or family via telecommunication.
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Interprofessional telephone/internet/EHR consultations (99446-99449 and 99451-99452). You may only report consultant communications with the patient and/or family via telecommunication for audio services for established patients or a virtual check-in.
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44
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Interprofessional telephone/internet/EHR consultations (99446-99449 and 99451-99452). Report a 5-to-10-minute telephone call for established patients with 98016 in place of 99441. Report the appropriate audio code in place of 99442 and 99443.
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Interprofessional telephone/internet/EHR consultations (99446-99449 and 99451-99452). Report telephone services to a patient with an audio or virtual check-in code.
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46
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Remote physiologic monitoring treatment management services (99457-99458). Telemedicine services bundle time for remote physiologic monitoring.
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Evaluation and Management/Newborn Care Services
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47
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Initial hospital or birthing center care (99460). Telemedicine services can be reported for post-discharge follow-up services in the office/outpatient setting.
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Evaluation and Management/Cognitive Assessment and Care Plan Services
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53
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Assessment of and care planning (99483). Don’t report telemedicine services in conjunction with 99483.
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Evaluation and Management/Care Management Services
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56, 57
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Chronic care management services (99490, 99439, 99491 and 99437). Telemedicine services bundle chronic care management time.
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Chronic care management services (99490, 99439, 99491 and 99437). Audio services for established patients and virtual check-ins bundle chronic care management time.
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58
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Complex chronic care management services (99487 and 99489). Audio services for established patients bundle complex chronic care management time.
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60
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Principal care management services (99424-99427). Telemedicine services bundle principal care management time.
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Principal care management services (99424-99427). Audio services for established patients and virtual check-ins bundle principal care management time
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Evaluation and Management/Advance Care Planning
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64
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Advance care planning (99497-99498). ACP can be reported in conjunction with telemedicine services.
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Surgery/Maternity Care and Delivery
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456
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Maternity care and delivery. Report telemedicine services for pregnancy confirmation during a problem-oriented or preventive visit.
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456
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Postpartum care only services (59430). Telemedicine services are bundled into 59430.
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460
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Abortion (59812-59857). Report A/V or audio codes for medical treatment of spontaneous complete abortion.
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Medicine/Psychiatry
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765
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Psychiatry. Telemedicine services can be used to report some psychiatry services.
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766
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Psychiatric diagnostic procedures (90791-90792). Don’t report telemedicine services in conjunction with diagnostic procedures.
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767
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Psychotherapy (90833, 90836 and 90838). A/V and audio telemedicine services can be primary codes.
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768
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Pharmacologic management (90863). Physicians, and QHPs who can report E/M services, can report 90863 with A/V and audio services.
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Medicine/Dialysis
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770
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Hemodialysis (90935, 90937 and 90940). Report a separate telemedicine service with modifier 25, when appropriate.
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770
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Miscellaneous dialysis procedures (90945 and 90947). Report a separate telemedicine service with modifier 25, when appropriate.
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Medicine/Cardiovascular
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822
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Peripheral arterial disease rehabilitation (93668). Report a separate telemedicine service when appropriate.
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823
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INR monitoring services (93792-93793) Audio for established patients and virtual check-ins can’t be reported with the INR codes
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823
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Anticoagulant management (93793). Telemedicine services can’t be reported with 93793.
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Anticoagulant management (93793). Audio services for established patients and virtual check-ins can’t be reported with 93793.
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Medicine/Pulmonary
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828
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Pulmonary diagnostic, rehabilitation and therapeutic services (94010-94799). Report a separate telemedicine service when appropriate.
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Medicine/Allergy and Clinical Immunology
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832
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Allergy and clinical immunology (95004-95199). Report a separate telemedicine service with modifier 25, when appropriate.
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Medicine/Behavior Management Services
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863
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Behavior management services (96202-96203). Report counseling and education by a physician or QHP with telemedicine services
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Medicine/Hydration, injections, infusions …
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864
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Hydration, injection, infusion and chemotherapy services (96360-96549). Report a separate telemedicine service with modifier 25, when appropriate.
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Medicine/Education And Training For Patient Self-Management
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884
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Education and training for patient self-management (98960-98962). Report counseling and education performed by a physician to an individual with A/V and audio codes.
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Medicine/Non-Face-To-Face Non-Physician QHP Services
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884
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Telephone services (98966-98968). Report a 5-to-10-minute telephone call for established patients with 98016 in place of 99441. Report the appropriate audio code in place of 99442 and 99443.
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Telephone services (98966-98968). Report physician telephone services with an audio or virtual check-in service.
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Medicine/Remote therapeutic monitoring treatment management
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887
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Remote therapeutic monitoring treatment management (98980-98081). Telemedicine services bundle RTM time.
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