• Coding Top 10: Informing Patients of Covered Locations, Residents Furnishing Telehealth, History Documentation by Staff

    Coding Top 10, May 2020

    Ask the Academy Coding Experts is an online resource for trusted responses to your coding questions.

    The Academy Coding Experts receive daily questions at coding@aao.org and icd10@aao.org. We are committed to providing accurate responses so that practices are confident in their billing and coding.

    Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The May coding selections include:

    1. Time Frame for Telehealth Flexibility
      How long will physicians be able to bill using the new flexibilities of telehealth?

    2. Informing Patients of Covered Locations
      Can physicians inform patients that Medicare and other payers cover telehealth in new locations during the public health emergency?

    3. Coding for In-Office Emergency Patients During Public Health Emergency
      We see emergency visits in our clinic. How are they coded compared to telemedicine coding for the 99201-99215 family?

    4. Testing Supervision Guidelines During the Public Health Emergency
      Are there changes to supervision of testing services?

    5. Residents Furnishing Telehealth
      Can residents furnish telehealth services?

    6. History Documentation by Staff
      In telemedicine, can the history be taken by phone prior to exam by staff and documented into the medical record?

    7. Treating Patients in Nursing Home or Other Facilities
      My physicians are considering going to nursing homes and assisted living facilities to do intraocular injections. I know we need to charge a nursing home visit instead of office visit. The place of service would be nursing facility or assisted-living facility. Would Medicare pay for Eylea, Lucentis and Avastin in a nursing facility or assisted living facility or skilled nursing facility? Can we charge a telemedicine visit too?

    8. Difference Between Telemedicine and Telehealth
      What is the difference between telemedicine and telehealth?

    9. Usage of Locum Tenens During PHE
      How long can a locum tenens (substitute) physician be used during the COVID-19 crisis?

    10. Virtual exams with New Nursing Home Patients
      Our physician has been asked to see a new patient who resides in a nursing home. However, the exam will be virtual. How should we submit?