Wiki Coding for 99443 in 2025

[TracyHarbour]

Code 99443 has been deleted and I wanted to be sure as a behavioral health provider I am coding correctly.
From what I am researching I believe I should be coding 99214 with modifier 93 for audio only.
Can anyone confirm that for me?
Thank you for any and all direction.

 

[cfordCPC]

Choosing the correct CPT code and modifier for audio-only services depends on the reimbursement policies of each payer, which can vary.

 

[TracyHarbour]

Thank you very much. I need to bill Medicare and I haven't found anything that I am confident in but from what I have been able to find I think it would be the 99214 with the 93 modifier. Have you billed any out to Medicare?

 

[csperoni]

That would be correct for Medicare, assuming that the E&M services accurately describe the services being performed. When it comes to behavioral health, I am aware (but not familiar with) a whole host of other codes that may more accurately describe services rendered.

 

[TracyHarbour]

Thank you so much Christine! I really appreciate your help.