Code 99451 concludes with only a written report. Codes 99446, 99447, 99448, 99449 conclude with a verbal opinion report and written report from the consultant to the treating/requesting physician or other QHP. The written or verbal request for telephone/Internet/electronic health record advice by the treating/requesting physician or other QHP should be documented in the patient’s medical record, including the reason for the request. Codes 99446, 99447, 99448, 99449, 99451 should not be reported more than once within a seven-day interval. If more than one telephone/Internet/electronic health record contact(s) is required to complete the consultation request (e.g., discussion of test results), the entirety of the service and the cumulative discussion and information review time should be reported with a single code. However, the service time for 99451 is based on total review and interprofessional-communication time. If greater than 50% of the time for the service is devoted to data review and/or analysis, 99446, 99447, 99448, 99449 should not be reported. The majority of the service time reported (greater than 50%) must be devoted to the medical consultative verbal or Internet discussion. is included in the telephone/Internet/electronic health record consultation service and shouldnot be reported separately when reporting 99446, 99447, 99448, 99449, 99451. Review of pertinent medical records, laboratory studies, imaging studies, medication profile, pathology specimens, etc. (e.g., a surgery, a hospital visit, or a scheduled office evaluation of the patient) within the next 14 days or next available appointment date of the consultant, these codes are not reported. When the telephone/Internet/electronic health record consultation leads to a transfer of care or other face-to-face service
However, the consultant should not have seen the patient in a face-to-face encounter within the last 14 days. The patient for whom the interprofessional telephone/Internet/electronic health record consultation is requested may be either a new patient to the consultant or an established patient with a new problem or an exacerbation of an existing problem.
Interprofessional Telephone/Internet/Electronic Health Record Consultations (99446-99449, 99451, 99452) are assessment and management services in which a patient’s treating (e.g., attending or primary) physician or other QHP requests the opinion and/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other QHP in the diagnosis and/or management of the patient’s problem without patient face-to-face contact with the consultant. (Do not report 99441-99443, if 99421, 99422, or 99423 have been reported by the same provider in the previous 7 days for the same problem.) Likewise, if the telephone call refers to an E/M service performed and reported by that individual within the previous 7 days (either requested or unsolicited patient follow-up) or within the postoperative period of the previously completed procedure, then the service(s) is considered part of that previous E/M service or procedure. If the telephone service ends with a decision to see the patient within 24 hours or next available urgent visit appointment, the code is not reported rather the encounter is considered part of the preservice work of the subsequent E/M service, procedure, and visit.
These codes are used to report episodes of patient care initiated by an established patient or guardian of an established patient.
#Blue cross blue shield copay medical code 99211 professional#
CPT codes 99441: Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian 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.ĩ9442 Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian 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 txt 24 hours or soonest available appointment 11-20 minutes of medical discussionĩ9443 21-30 minutes of medical discussionĬodes 99441-99443 are non-face-to-face E/M services provided to a patient using the telephone by a physician or other QHP who may report E/M services.Telemed definitions (time intervals above).
0 kommentar(er)
