ljhaley@gmail.com
Networker
Hi Everyone,
We are a small Peds practice that does NOT have Video abilities at this time so ALL of our soon to be "telephone" visits due to COVID situation will be audio only.
We understand the rules regarding who/how/when we can use these codes from these awesome forums and the CPT book. What we don't have information on is this:
We don't bill ANY Medicare, because we are Peds. MOST of our commercial payers, when these codes originally became available, said they are non payable PERIOD. Now our local NYS BCBS has said due to the COVID they will temporarily consider these codes for reimbursement. (YAY) However, they hinted calls for non physician audio only CPT 98966-98968 would be considered for COVID related issues, (We read between the lines just covid calls??) Does anyone out there have any experience yet billing commercial payers successfully for CPT 98966-98968? ANY guidance would be appreciated, modifier info too. Grateful thanks!
We are a small Peds practice that does NOT have Video abilities at this time so ALL of our soon to be "telephone" visits due to COVID situation will be audio only.
We understand the rules regarding who/how/when we can use these codes from these awesome forums and the CPT book. What we don't have information on is this:
We don't bill ANY Medicare, because we are Peds. MOST of our commercial payers, when these codes originally became available, said they are non payable PERIOD. Now our local NYS BCBS has said due to the COVID they will temporarily consider these codes for reimbursement. (YAY) However, they hinted calls for non physician audio only CPT 98966-98968 would be considered for COVID related issues, (We read between the lines just covid calls??) Does anyone out there have any experience yet billing commercial payers successfully for CPT 98966-98968? ANY guidance would be appreciated, modifier info too. Grateful thanks!