Question G2102 vs 99441-99443

mullenslemoine@aol.com

New
Local Chapter Officer
Messages
3
Best answers
0
When to bill G2102 vs 99441-99443 for the emergency telehealth administrative codes that were put out? I am lost on when does it stop being a "brief" communication and become a telehealth E/M? Also, how does MS Medicaid define virtual check in?
 

csperoni

Expert
Messages
454
Location
Selden
Best answers
1
1) Telephone encounters are NOT telehealth.
A lot of people are misunderstanding this, so I cannot stress it enough.
Telehealth MUST be performed via interactive audio and video. Telehealth is billed as E/M codes 99201-99215 with POS 02. Coding is based as it always was on either the level of hx, exam & MDM, or time if > 50% in counseling/coordination of care. Medicare NO modifier. Commercial mod -95 unless otherwise advised.
Telephone encounter MUST be an established pt, initiated by pt & not related to visit in past 7 days or result in upcoming apt at soonest available. POS 11. Medicare pays for G2012. Commercial may want 99441-99443 or G2012 depending on carrier.

I have zero experience with MS Medicaid to answer that question. I would advise to check with them directly whether they are following CMS guidance or their own policy.

Hope that helps!
 
Top