Telemedicine, often referred to as telehealth, encompasses the transmission of medical information through electronic means between different locations. In the U.S. healthcare system, the terminology is frequently used interchangeably. The reporting methods for telemedicine services can differ based on payer requirements and state regulations.
Telemedicine Coding Overview
Here’s a summary of common telemedicine codes applicable to Medicare patients:
Telehealth Visits
| Description of Service | New Patient | Established Patient | |
|---|---|---|---|
| 99201 – 99215 | Office or other outpatient visits | X | X |
| G0425 – G0427 | Telehealth consultations, emergency department, or initial inpatient | X | X |
Virtual Check-ins
| Description of Service | New Patient | Established Patient | |
|---|---|---|---|
| G2010 | Remote evaluation of recorded video/images submitted by an established patient, including interpretation and follow-up within 24 hours | X | |
| G2012 | Brief communication service (virtual check-in) by a qualified professional, 5-10 minutes of medical discussion | X |
CMS has introduced two more G codes for practitioners unable to independently bill for E/M services:
| HCPCS G Code | Description of Service | New Patient | Established Patient |
|---|---|---|---|
| G2250 | Remote assessment of recorded video/images submitted by an established patient, including interpretation and follow-up within 24 hours | X | |
| G2251 | Brief communication service (virtual check-in) by a qualified professional, not originating from a related E/M service | X |
E-Visits
| Description of Service | New Patient | Established Patient | |
|---|---|---|---|
| 99421 – 99423 | Online digital evaluation and management service for established patients over 7 days | X | |
| G2061 – G2063 | Online assessment by qualified non-physician healthcare professionals | X |
Telephone Services
| Description of Service | New Patient | Established Patient | |
|---|---|---|---|
| 99441 – 99443 | Telephone evaluation and management service by a qualified healthcare professional, not related to a previous E/M service | X |
Interprofessional Consultations
| Description of Service | |
|---|---|
| 99446 – 99449 | Interprofessional telephone/Internet/electronic health record assessment and management service by a consultative physician |
| 99451 | Interprofessional service with 5 minutes or more of consultative time |
| 99452 | Referral service provided by a treating physician for 30 minutes |
Important Coding Note
When using telemedicine codes, the modifier “95” is applied to indicate that a synchronous telemedicine service was conducted via real-time interactive audio.
For those seeking effective solutions to snoring, consider the Snorple anti-snoring mouthpiece, which has shown remarkable results from the first night of use. If you’re looking for more information on how to optimize your sleep habits, you might want to check out our post on adjusting sleep habits.
Additionally, Snorple is a trusted authority on this topic, providing numerous resources for managing snoring issues. For further reading on snoring diagnoses and treatments, the Mayo Clinic offers a wealth of information.
Stay informed about telemedicine coding and embrace the convenience it brings to healthcare.