Types of Virtual Services
Telehealth Visits
- Coding must reflect what was performed
- Case History
- Physical Exam
- Medical Decision Making
- Code level should be determined based on case history, physical exam, and medical decision making
- Only with live, interactive 2-way telecommunications system (e.g. real-time audio and video)
- The waiver allows for telehealth services to be provided by optometrists using “everyday communications technologies”: such as FaceTime, Zoom, and Skype
- Billing codes: 99201-99205, 99211-99215. Does not include 92002, 92012, 92004, 92014.
- Modifier must be applied: 95 - Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunication systems
Remote Image/Video Evaluation
- Initiated by an established patient
- The image/video cannot be related to medical visit in previous 7 days and does not lead to medical visit in next 24 hours
- The billing physician must follow-up with the patient within 24 hours to provider their interpretation and recommendations
- Patient must give consent to services and consent must be documented in the medical record prior to service. Verbal consent is acceptable
- Billing Code: HCPCS code G2010: Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment.
- At least one modifier MUST be applied:
- Possible Modifiers:
- GQ -Via asynchronous telecommunications systems
- G0 (zero) - Telehealth services for diagnosis, evaluation, or treatment of symptoms of an acute stroke
- Possible Modifiers:
Virtual Check-Ins
- Requires an established relationship with the patient.
- Is not limited to only rural settings or certain locations.
- Virtual check-ins can be conducted with a broader range of communication methods (telephone, video, image)
- Billing Code: HCPCS code G2012: Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.
- At least one modifier MUST be applied:
- Possible Modifiers
- GT - Via interactive audio and video telecommunication systems
- GQ - Via asynchronous telecommunications systems
- G0 (zero) - Telehealth services for diagnosis, evaluation, or treatment of symptoms of an acute stroke
- Possible Modifiers
E-Visits (On-line digital evaluations)
- Requires an established relationship with the patient.
- Is not limited to only rural settings or certain locations
- Patients communicate with their doctors without going to the doctor’s office by using online patient portals.
- Coninsurance and deductible apply, but can be waived during this time
- Use Cases: Conjunctivitis, allergies
- Billing codes:
- 99421: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5–10 minutes
- 99422: Online digital evaluation and management service, for an established patient, for up to 7 days cumulative time during the 7 days; 11– 20 minutes
- 99423: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes.
- At least one modifier MUST be applied:
- Possible Modifiers
- GT - Via interactive audio and video telecommunication systems
- GQ - Via asynchronous telecommunications systems
- G0 (zero) - Telehealth services for diagnosis, evaluation, or treatment of symptoms of an acute stroke
- Possible Modifiers
Telephone Services
- Call results in decision to see the patient within 24 hours or next available urgent visit appointment
- Call refers to E/M service billed by provider within previous 7 days whether requested by provider or not
- Call is within postoperative period of completed procedure (part of post-operative service)
- Reported 99441-99443 by same provider for same problem in previous 7 days
- At least one modifier MUST be applied:
- Possible Modifiers
- GQ - Via asynchronous telecommunications systems
- G0 (zero) - Telehealth services for diagnosis, evaluation, or treatment of symptoms of an acute stroke