• 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..

phone call - location of patient

D

dragonclawz70

Networker
Messages
38
Location
Grand Isle, VT
When billing the phone call codes (99441 through 99443) does anyone know if the criteria for patient's location are the same as when billing telehealth visits? Thank you! I've been researching the audio only codes and can't find any specific information on that particular question.
 
Is this what you're looking for?

MLN Policy - https://www.cms.gov/files/document/mln901705-telehealth-services.pdf

Telehealth Services MLN Fact Sheet

Place of Service (POS) Codes: For 2023, continue billing telehealth claims with the POS indicator you’d bill for an in-person visit.

You must use Modifier 95 to identify them as telehealth through December 31, 2023.

After December 31, 2023, use POS 02-Telehealth to indicate you provided the billed service as a

professional telehealth service when the originating site is other than the patient’s home. Use POS

10-Telehealth for services when the patient is in their home.
 
Hi - thank you, I do have that information. I'm going to advise my providers when billing for phone calls they should treat the phone calls as a telehealth visit and follow the same rules. I did find that the documentation for phone calls needs to include why the patient can't do an audio/video visit, so following that train of thought, they should follow the same rules that apply to telehealth visits.
 
dragonclawz70 said:
Hi - thank you, I do have that information. I'm going to advise my providers when billing for phone calls they should treat the phone calls as a telehealth visit and follow the same rules. I did find that the documentation for phone calls needs to include why the patient can't do an audio/video visit, so following that train of thought, they should follow the same rules that apply to telehealth visits.
Click to expand...
For Medicare, under the PHE waiver extension that is in place until Dec. 31, 2024, you don't need to justify the use of audio-only services.
 
You must log in or register to reply here.
Top