Wiki Telehealth Follow Up Visits for Infusion Pain Pumps

noellenoble

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Local Chapter Officer
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Glendale, AZ
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Our office is starting to see an uptick in follow up telehealth visits for continuous infusion pumps. From my understanding, these follow up EM visits cannot be billed unless it is both medically necessary and unusual. I'm not quite sure a telecommute appointment would be considered unusual (the ones we see are the anesthesiologist just making sure the pain pump is still working and providing relief). I think these visits are supposed to be covered in the original code used. So, my question is are these reported separately or do we need to go back to the provider and let them know they can't bill for these unless maintenance was done on the pump?

99213 (modifier depending on insurance) with POS 02
 
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