Wiki Text Messaging

[KoBee]

Has any one ran into a situation where a patient is scheduled for telemedicine video/audio but unable to connect to either so patient and provider are texting back and forth. What CPT would you use text messaging?

 

[OpenClaims]

Yes, our facility bills as telehealth.

MEDICARE TELEMEDICINE HEALTH CARE PROVIDER FACT SHEET | CMS

Medicare coverage and payment of virtual services INTRODUCTION:

www.cms.gov

This link has medicare codes as examples; but nonetheless can be crosswalked to non-medicare codes. HCPCS codes provide safe patient/provider communication in days of COVID-19 - 3M Inside Angle

 

[jkyles]

Has any one ran into a situation where a patient is scheduled for telemedicine video/audio but unable to connect to either so patient and provider are texting back and forth. What CPT would you use text messaging?

Hi there, I think G2012 would work because the descriptor is pretty broad ("technology-based service") and doesn't specify that the exchange was synchronous. I know some private payer cover this code, but you should double-check if this was a private pay patient.

 

[OpenClaims]

Hi there, I think G2012 would work because the descriptor is pretty broad ("technology-based service") and doesn't specify that the exchange was synchronous. I know some private payer cover this code, but you should double-check if this was a private pay patient.

Yes, I agree. Some payors want something specific. We often see BCN denying these, but we haven't had issues with other payors thus far.