Results 1 to 2 of 2

Psychotherapy via webcam

  1. #1
    Question Psychotherapy via webcam
    Medical Coding Books
    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.

  2. #2
    Madison Area Chapter in Madison WI
    This falls under the telemedicine area. From a coding perspective, telemedicine services are coded with the appropriate code for services provided and the telemedicine modifier "GT" (Via interactive audio and video telecommunication systems for the service provided) For example, 90806-GT. The key here us real time interactive services. There are some exceptions to the real time rule, but at this point, it isn't important.

    Now, for the reimbursement piece. Check with the carriers, especially your Medicare carrier, to learn their policies for telemedicine services. I am from a commercial carrier and we originally didn't cover telemedicine services, because we questioned the coding and medical appropriateness. A large provider group shared information with us and demonstrated how telemedicine works for some types of services (mental health therapy, for one). We now cover some telemedicine services. Our Medicare carrier does cover telemedicine services and their policies define the criteria.

    In your client's case, they should only provide services where their licensure is appropriate. Now, given they are working within the scope of their licensure, they can provide, code, and submit these services. Reimbursement will depend on the carrier or the patient, if self pay is an option.

    Hope this is helpful.
    Happy Coding, Claudia

    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    [email] - website

Similar Threads

  1. Replies: 2
    Last Post: 06-01-2015, 03:57 PM
  2. Psychotherapy
    By dyates in forum Behavioral Health
    Replies: 2
    Last Post: 05-09-2015, 02:07 PM
  3. Coding for Video/Webcam visits
    By cbush in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-19-2011, 08:45 AM
  4. webcam visits and POS
    By ollielooya in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-22-2010, 10:20 AM
  5. Psychotherapy via webcam
    By bgeiser in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-07-2008, 12:53 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.