• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 90792 telephone only? billable?

Create Wiki
B

Brenda1973

Networker
Messages
94
Location
Sault Sainte Marie, MI
Best answers
0
Can I bill a 90792 when video was not available, and visit was audio only?
 
Per CMS Medicare allows 90792 as audio-only. But you will need to check with other payers, for example, Indiana state Medicaid does not allow audio only for this service. Modifiers are required for telehealth billing in most instances. Here are the descriptions from the 2025 HCPCs book : 93 Synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system; 95 Synchronous telemedicine service rendered via a real-time interactive audio and visual telecommunications system.

Helpful link for Medicare: /www.cms.gov/files/document/mln901705-telehealth-remote-patient-monitoring.pdf
 
Appendix T of your CPT manual contains a list of codes that can be audio-only. However, you need to check the payer for its policies on what it does/not allow as an audio-only service.
 
You must log in or register to reply here.
Top