icd 10 code for telehealth visit

by Prof. Dallin Zboncak III 9 min read

AetnaCigna
ModifierCommercial: -GT or -95 Medicare Advantage: -95-GQ, -GT, or -95 (all three accepted) -CS *Must use appropriate ICD-10 code (Z03.818 or Z20.828
Cost-share waiverYesYes
Covers cost-shareYesYes
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What is the ICD-10 code for telehealth services?

Apr 29, 2020 · Code 99201-99215 – This is a 15-20 minutes’ outpatient office visit for either new or already established patients. The GT Modifier helps in keeping a track and lets them know that the visit has taken place virtually on this telemedicine platform. This in turns helps in keeping and maintaining a record.

What are the telehealth codes for outpatient visits?

Apr 13, 2020 · This visit would now revert to a telephonic visit, again, codes, 99441-99443, and time would need to be documented to enable the provider to choose the correct code. These are time-based codes. From CMS.gov

What is the CPT code for telemedicine 2021?

Apr 13, 2020 · Code 99201-99215 – This is a 15-20 minutes’ outpatient office visit for either new or already established patients. The GT Modifier helps in keeping a track and lets them know that the visit has taken place virtually on this telemedicine platform. This in turns helps in keeping and maintaining a record.

What is the CPT code for Medicare Advantage telehealth?

Medicare requires audio-video for office visit (CPT 99201-99215) telehealth services. Audio-only encounters can be provided using the telephone evaluation and management codes (CPT codes...

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When will CMS update telehealth?

Original story posted on: April 13, 2020. As CMS continues to update their policies on telehealth during the COVID-19 pandemic and the Public Health Emergency, ICD10monitor is here to continue to keep you informed on these changes.

Who is Terry Fletcher?

Terry Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, CMCS, ACS-CA, SCP-CA, QMGC, QMCRC, is a healthcare coding consultant, educator, and auditor with more than 30 years of experience. Terry is a past member of the national advisory board for AAPC, past chair of the AAPCCA, and an AAPC national and regional conference educator. Terry is the author of several coding and reimbursement publications, as well as a practice auditor for multiple specialty practices around the country. Her coding and reimbursement specialties include cardiology, peripheral cardiology, gastroenterology, E&M auditing, orthopedics, general surgery, neurology, interventional radiology, and telehealth/telemedicine. Terry is a member of the ICD10monitor editorial board and a popular panelist on Talk Ten Tuesdays.

Can a doctor use a cell phone for video chat?

ANSWER: No. The provider must use telecommunication application, which mandates audio and visual, under Waiver 1135. They can use their smart phone or cell phone for the doctor-to-patient phone calls, and most cell phones have a video chat option (i.e. FaceTime, Skype, Google Duo, Facebook Video Chat). I know this is causing confusion.

Has the 02 POS changed?

We were told 02 for telehealth in March, but that has changed? ANSWER: Yes, in the March 31 CMS published update, the agency changed its position on the 02 POS, as that will reduce by about 20 percent services to be paid at a facility rate.

Telehealth Scenario Notes

A full list of Medicare telehealth services is available here. Private payers vary on covered telehealth services. Check with your provider relations representatives for each payer’s telehealth policy and covered telehealth services.

Annual Wellness Visits

The Medicare AWV codes (HCPCS codes G0438 and G0439) are on the list of approved Medicare telemedicine services. CMS states that self-reported vitals may be used when a beneficiary is at home and has access to the types of equipment they would need to self-report vitals.

Federally Qualified Health Centers and Rural Health Clinics

CMS has released guidance allowing federally qualified health centers (FQHCs) and rural health clinics (RHCs) to provide distant-site telehealth services.

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