Coding for Telemedicine

In this video, Dr. David Glasser, the Academy’s secretary for federal affairs, provides an overview of coding for telemedicine including who can submit claims, the role of the staff and the three ways that you can provide telehealth services.

Download the slides (PDF 310 KB)

Important Updates Since April 1, 2020 Recording:

• As of April 3, 2020, CMS clarified that place of service (POS) should be 11 for phone calls, e-visits, G-codes, and 99201-99215 via virtual telemedicine for Medicare Part B patients.
• Modifier -95 should be appended to 99201-99215, but not to phone calls, E-visits or G-codes.
• CMS announced coverage for this family of codes:
• 99441 $14.44 for 5-10 minutes of medical discussion
• 99442 $28.15 for 11-20 minutes of medical discussion
• 99443 $41.14 for 21-30 minutes of medical discussion
• Place of service 11 for office

Resources referenced in the video:

• States waiving licensure requirements/renewals in response to COVID-19
• Different set of codes for PAs and NPs detailed on the Academy's Coding for Phone Calls, Internet and Telehealth Consultations page.
• CMS Accelerated/Advanced Payment Information
• Academy teleheath coding advice

More videos on coding for telemedicine:

• What Constitutes E/M 99202 and 99212 Performed Via Telehealth?
  Dr. Michael Repka, the Academy's medical director for health policy, shares clinical examples that meet documentation requirements for new patient 99202 and established patient 99212.
• What Constitutes E/M 99213 Performed Via Telehealth?
  Dr. Ravi Goel, senior secretary for ophthalmic practice, shares clinical examples that meet documentation requirements for established patient 99213.