Wiki Telephonic Codes 98966-98968

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psheppar

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Lawrenceville, NJ
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Good Morning.
Does anyone have any case samples of codes 98966-98968 that they can share? for example-
What types of non physician providers (RNs eligible?) and what the phone call should consist of, beside time, to be eligible to bill it? What criteria meets the term- "Assessment and management"
Thanks!
Codes and descriptors below-
Procedure code 98966: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
Procedure code 98967: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion
Procedure code 98968: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion
Wednesday at 8:34 AM
 
0
I am interested in this information as well!! We have therapists that are providing services via telehealth due to the COVID19, how can they bill for their therapy services (typically billed as 90834 or 90837)?

The following codes do not really seem to describe what they (Phd, LPC, LMFT, and LCSW) are doing. They are proving their typical therapy services VIA telephone (audio only) ONLY because the patient does not have access or the ability to complete telehealth services (auvio & visual...no internet, etc)
Procedure code 98966: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
Procedure code 98967: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion
Procedure code 98968: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion

Please help with some guidance!
 
0
nwhite123 said:
I am interested in this information as well!! We have therapists that are providing services via telehealth due to the COVID19, how can they bill for their therapy services (typically billed as 90834 or 90837)?

The following codes do not really seem to describe what they (Phd, LPC, LMFT, and LCSW) are doing. They are proving their typical therapy services VIA telephone (audio only) ONLY because the patient does not have access or the ability to complete telehealth services (auvio & visual...no internet, etc)
Procedure code 98966: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from
Click to expand...

Bill your regular mental health visits. See the numerous other posts for guidance. Basically, do the same thing as if it were in person, but some insurances want POS 2 and some want POS 11.
 
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