Wiki Psychotherapy via webcam

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bgeiser

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A client is choosing to offer psychotherapy via webcam and/or telephone and wants us, as her practice mgmt company, to bill the insurances using 90806, 90847, 90804, etc. As a coder, I do not believe that these services are insurance billable because the codes are very specific as to "in an office or outpatient facility, face-to-face." Additionally, my concern is that some of her longtime patients have moved to states where the client is not licensed.

I have found nothing definitive in queries to various insurance carriers as to webcam psychotherapy although some have admitted that there is discussion regarding this but only for specific circumstances yet to be determined.

I am very interested in feedback from fellow coders... Is there something I am missing? Am I looking at the codes too narrowly? Is anyone aware that this practice is accepted or encouraged by any insurance? Do you believe that state licensure would be a liability factor?

Thanks for any and all responses.

Bethann M Geiser, HRS, CPC, CPC-E/M
Accurate Billing Plus, Inc.
 
Telemedicine

Telemedicine is an accepted and billable practice in California. Blue Cross and Medi-Cal, Medicare and others reimburse for Telemedicine services. There are of course rules and regulations. There is a great booklet produced by California Telemedicine &eHealth Center. They have a web site at www.cteconline.org
 
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