在Covid-19公共卫生紧急期间编码特定于远程医疗编码的信息 -看法

远程医疗代码

远程医疗and telehealth are used interchangeably throughout the United States healthcare system, in reference to the exchange of medical information from one site to another through electronic communication. Reporting of telemedicine/telehealth services varies by payer and state regulations.

asasm.远程医疗/Telehealth Resources

CMS远程医疗/远程医疗规范

医疗保险患者通常报告以下代码：

远程医疗访问 服务描述 新病人 既定患者
99201 - 99215 Office or other outpatient visits X X
G0425 - G0427 远程医疗咨询，急诊部或初始住院病人 X X
Virtual Check-ins 服务描述 新病人 既定患者
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 X
G2012. 简短的通信技术为基础的服务，例如：, 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 X

CMS finalized the creation of two additional G codes that can be billed by practitioners who cannot independently bill for E/M services. G2250 and G2251 are billable by certain non-physician practitioners, consistent with the scope of these practitioners’ benefit categories.

HCPCS G码 服务描述 新病人 既定患者
G2250 Remote assessment 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 service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment X
G2251 简短的通信技术为基础的服务，例如：通过提供给已既定患者的评估和管理服务的合格医疗保健专业人员的虚拟办理登机手续，而不是在前7天内提供的相关E / M服务，也不会导致下一个内部的服务或程序24小时或最快的任命;5-10分钟的医疗讨论 X
HCPCS G码 服务描述 新病人 既定患者
G2252（CMS永久性地建立单独的编码和付款，为更长的虚拟​​登记服务，G2252，生效1月1日，2022年。）报销金额已经交叉向偿还当前程序术语（CPT）代码99442的报销。 简短的通信技术为基础的服务，例如：, 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; 11-20 minutes of medical discussion X
E-Visits 服务描述 新病人 既定患者
99421 –99423 在线数字评估和管理服务，为既定患者，长达7天，累计7天内 X
G2061 – G2063 Online assessment by qualified non-physician healthcare professional X
Telephone Services 服务描述 新病人 既定患者
99441 –99443 电话评估和管理服务由一个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 X
Interprofessional Telephone/Internet/EHR Consultations 服务描述
99446 - 99449 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient’s treating/requesting physician or other qualified health care professional

*每个代码包括医疗咨询讨论和审查的时间
99451 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a written report to the patient’s treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time
99452 Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/ requesting physician or other qualified health care professional, 30 minutes

CPT远程医疗代码

修改器95表示经由实时交互式音频和视频电信系统呈现的同步远程医疗服务。2020CPT®手册包括附录P，它列出了CPT代码的摘要，该CPT代码可以用于通过修改器95附加时用于报告同步（实时）远程医疗服务。此列表中的过程涉及使用包括的交互式电信设备的电子通信涉及电子通信，在最小，音频和视频。

HCPCS级别II代码

There are also HCPCS Level II codes that describe telemedicine services.

HCPCS Level II Telehealth Codes 服务类型 新病人 既定患者
G0406-G0408. Follow-up Inpatient Consultation via Telehealth X
G0425-G0427 Telehealth Consultation, Emergency Department X
G0508，G0509 Telehealth Consultation, Critical Care X X

Place of Service (POS) Code for Telemedicine

On January 1, 2017 the Center for Medicare and Medicaid Services (CMS) introduced place of service (POS) code 02 to identify telemedicine services. The descriptor for POS code 02 is “The location where health services and health related services are provided or received, through telecommunication technology.” Use of the telehealth POS code certifies that the service meets all of the telehealth requirements. Many private payers have also begun requiring use of POS code 02 for telemedicine services.

gt / gq修饰符

Medicare previously required providers to submit claims for telehealth services using the appropriate procedure code along with the telehealth GT modifier (“via interactive audio and video telecommunications systems”) or GQ modifier (“via an asynchronous (delayed communications) telecommunications system”). As of January 1, 2018, the GT modifier is only allowed on institutional claims billed under Critical Access Hospital (CAH) Method II since institutional claims do not use a POS code. If the GT modifier is billed by other provider types, the claim line will be rejected. The GQ modifier is still required when applicable (e.g., for those providers participating in the Alaska or Hawaii federal telemedicine demonstration programs).

Additional CMS Telemedicine/Telehealth Resources

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