Orthopedic Coding Alert

Reader Questions:

Report These E/Ms As Telehealth … for Now

Question: Can we report inpatient telehealth evaluation and management (E/M) services to Medicare? This has happened in some cases in our practice due to COVID-19.

Delaware Subscriber

Answer: As of February 2021, Medicare will include the following codes as temporarily reimbursable during the public health emergency (PHE):

  • 99221 (Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. …)
  • 99222 (… A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. …)
  • 99223 (… A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. …).

Resource: You can access a current list of Medicare covered Telehealth Services for the COVID-19 public health emergency (PHE) at www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes.

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