G2012 vs 99441

[zaidaaquino]

To my understanding, both G2012 and 99441 are done via telephone since G2012 can also include telephone calls. Both are 5-10 minute calls. If that is the case, what determines which of the two codes we use to bill?

 

[Cynthia Hughes]

CMS created G2012 specifically to allow reporting of an E/M service to determine if a patient required a face-to-face service. CMS did not cover telephone services for reasons such as follow-up to determine if treatment/management was effective and without concerning side effects. The new policy to pay (at least temporarily) for telephone E/M codes does create a potential overlap but codes 99441-99443 are not limited to communications to determine if a face-to-face encounter is necessary.

I hope that is helpful.

 

[csperoni]

Yes, there is definitely overlap between G2012 & 99441. I will note that with 99441-99443 now being covered by Medicare during the emergency, that 1 significant difference of 99441 over G2012 is that 99441 may be used for a new patient.
If you look at the reimbursement, they are pennies apart.