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CPT® 99421, Under Online Digital Evaluation and Management Service

The Current Procedural Terminology (CPT®) code 99421 as maintained by American Medical Association, is a medical procedural code under the range - Online Digital Evaluation and Management Service.

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Summary

A physician or other qualified healthcare professional discusses, using online communication technologies, a health issue and possible treatment or management with an established patient. This code covers 5 to 10 minutes of cumulative time spent with the patient for a period of up to 7 days.

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View matching HCPCS Level II codes and their definitions.

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Have a question about CPT Code 99421 ? Start a discussion here
can online digital E&M (99421-99423) be billed for a new patient?
We were advised by a vendor that CPT 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 can be bil... [ Read More ]
99421 billing
One of our Dr's has an established patient who's Mother contacted our Dr's nurse about her daughter having pink eye. The nurse contacted the Dr, who was not in the clinic that day, and the Mother sen... [ Read More ]
Telehealth Examination Guidelines
[QUOTE="lori.l.thompson@state.or.us, post: 502886, member: 648034"] Hoping that I can get some guidance here. During two separate audits of telehealth visits performed during the pandemic, our audito... [ Read More ]
Physical exam in a telehealth visit
[QUOTE="csperoni, post: 503303, member: 164618"] CMS issued guidance that even in 2020, telehealth could be coded on MDM only or time. From [URL]https://www.cms.gov/files/document/03092020-covid-19-fa... [ Read More ]
Physical exam in a telehealth visit
CMS issued guidance that even in 2020, telehealth could be coded on MDM only or time. From [URL]https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf[/URL] currently on page 96 (my emphasi... [ Read More ]
Alternate code 99421
CPT 99421 getting denied by BCBS stating separately not reimbursed due to payment policy. Can someone Please provide the Alternate code for 99421.... [ Read More ]
Can you bill for portal messages?
Hi there. I suggest reviewing the online E/M codes 99421-99423 and the HCPCS virtual code G2012. Typically you need to get the patient's consent before you can bill the service.... [ Read More ]
Telehealth
For telehealth, you must have realtime audio and video. It sounds like this service had neither. There has been advice that if the bulk of the visit occurred with video, and then failed, it is OK to... [ Read More ]
Patient Portal Visits 99421-99423
Well, you're doing yourself a disservice if you allow your patients to make refill requests. Now, hear me out. I instituted this policy at every office I've ever worked at, and for every physician I... [ Read More ]
Patient Portal Visits 99421-99423
For patient portal visits, (CPT Codes 99421-99423), if a patient uses the portal to request a prescription refill and the provider reviews the patient’s record before approving the refill and docume... [ Read More ]
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