Wiki Provider Coding

[chetanemerson]

Please suggest CPT's for Physician group. Let me explain the scenario:

• Physician speaks to patient for 5-10 mins (audio) regarding Covid issues. (if there is any valid CPT)
• Next day patient visits Physician office and provider examines patient for covid and collect Covid specimen (CPT's which can be billed)
• After result comes, physician informs Patient if his/her (audio) test is negative or positive. (Follow up CPT)

 

[kayleeevans907]

I don't believe that anything besides the covid swab would be billable.
The telephone consult codes (99441-99443) that could be used to bill for the audio visit before the swab specifies the following: "not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment". Since the audio visit resulted in the patient coming to be swabbed/examined and then the result phone call was the result of the swab/procedure (assuming this was within the 7 days) neither phone call is billable.

 

[daedolos]

Bullet#2: Was this a physical or telemedicine visit?
Bullet#3: How were the results conveyed?

Peace
?_?
My gut reaction is to bill for E/M for Bullet#2 and previous day should be included in the weight. Bullet#3 would not be billable as it is just a result.