covid-19 telehealth expansion - buffalo, ny · covid-19 telehealth expansion this guide has been...

COVID-19 TELEHEALTH EXPANSION

This guide has been created as a collaborative effort between Optimum Physician Alliance, UBMD and General Physician, P.C. to be a resource and provide clarification around:

We want to thank everyone for their expertise and input. We will continue to update this guide as we learn of new information.

DISCLAIMER: The information contained in this guide is based upon the CDC guidelines (https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html) and the latest data gathered with payer input. This information is subject to change without notice. For specific

questions not addressed in this guide, please call each payer directly.

Diagnosing Information Payer Guidelines (Note: BCBS- TBD) Telehealth CPT Codes List of Medicare Telehealth Service Codes Medent eHR Documentation Amazing Charts eHR Documentation (TBD)

Covid-19 Virus ICD 10 CM Diagnosis Information General Guidance Pneumonia For a pneumonia case confirmed due to the 2019 novel coronavirus (COVID-19), assign codes J12.89 Other viral pneumonia, and B97.29, Other coronavirus as the cause of diseases classified elsewhere. Acute Bronchitis For a patient with acute bronchitis confirmed due to COVID-19, assign codes J20.8, Acute bronchitis due to other specified organisms, and B97.29, Other coronavirus as the cause of diseases classified elsewhere. Bronchitis not otherwise specified (NOS) due to the COVID-19 should be coded using code J40, Bronchitis, not specified as acute or chronic; along with code B97.29, Other coronavirus as the cause of diseases classified elsewhere. Lower Respiratory Infection If the COVID-19 is documented as being associated with a lower respiratory infection, not otherwise specified (NOS), or an acute respiratory infection, NOS, this should be assigned with code J22, Unspecified acute lower respiratory infection, with code B97.29, Other coronavirus as the cause of diseases classified elsewhere. If the COVID-19 is documented as being associated with a respiratory infection, NOS, it would be appropriate to assign code J98.8, Other specified respiratory disorders, with code B97.29, Other coronavirus as the cause of diseases classified elsewhere. ARDS Acute respiratory distress syndrome (ARDS) may develop in with the COVID-19, according to the Interim Clinical Guidance for Management of Patients with Confirmed 2019 Novel Coronavirus (COVID-19) Infection. Cases with ARDS due to COVID-19 should be assigned the codes J80, Acute respiratory distress syndrome, and B97.29, Other coronavirus as the cause of diseases classified elsewhere. Exposure to COVID-19 For cases where there is a concern about a possible exposure to COVID-19, but this is ruled out after evaluation, it would be appropriate to assign the code Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out. For cases where there is an actual exposure to someone who is confirmed to have COVID-19, it would be appropriate to assign the code Z20.828, Contact with and (suspected) exposure to other viral communicable diseases. Signs and symptoms For patients presenting with any signs/symptoms (such as fever, etc.) and where a definitive diagnosis has not been established, assign the appropriate code(s) for each of the presenting signs and symptoms such as:

• R05 Cough • R06.02 Shortness of breath • R50.9 Fever, unspecified

Note: Diagnosis code B34.2, Coronavirus infection, unspecified, would in general, not be appropriate for the COVID-19, because the cases have universally been respiratory in nature, so the site would not be “unspecified.” If the provider documents “suspected”, “possible” or “probable” COVID-19, do not assign code B97.29. Assign a code(s) explaining the reason for encounter (such as fever, or Z20.828).

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PAYER GUIDELINES

Payer LOB Codes Modifier Waiver Effective Dates Waiver Notes Links

Last Revision

Date

Blue Cross Blue Shield

of WNY TBD TBD

BCBS utilizes a vendor for Telemed (Doctor on

Demand); OPA reaching out for policy

updates/waivers

3.18.20

Fidelis

Medicaid, CHP, Medicare

Advantage, QHP/EP

Only covers telemedicine services, bill E/M codes with POS 02; virtual check-ins and phone calls, texts, e-mails are not eligible

for reimbursement as stand-alone services

95, GT, or GQ

3.18.20

IH

Commercial, Self-Funded,

Medicare, State Products

99421-99423, 98970-2*, 99441-99443, 99446-99449, 99451-99452, 99453-4*, 99457-99458*, 99473-4*, 99091, G2010,

G2012, G2061-3* * = Not Covered for Medicaid

AO Will reassess

after 30 days (per 3/13/20 notice)

Temporarily reimbursed FFS, effective 4/1/20. Modifier AO must be used to indicate code

related to COVID19 and receive FFS

reimbursement.

IHA Policy and Fee Schedule

3.17.20

E/M Codes (must also use POS 02)

NYS Medicaid FFS 99441-99443, G2010 N/A 3/13/20 through

end of current State of

Emergency

Allowing phone, e-mail, and e-visits

Medicaid Update – New York State Department of

Health

3.18.20

E/M Codes (must also use POS 02) 95, GT, or

GQ

Medicare FFS

99421-99423, G2010, G2012, G2061-G2063 3/6/20 through end of current

State of Emergency

Site restrictions waived, not enforcing visit within

3 years rule

MEDICARE TELEMEDICINE HEALTH CARE

PROVIDER FACT SHEET | CMS

3.18.20

E/M Codes (must also use POS 02) 95, GT, or GQ

UHC

Medicare Advantage, Medicaid,

Commercial

99421-99423, G2010, G2012, G2061-G2063 N/A 3/13/20- 4/30/2020

May extend if necessary

Site restrictions waived, allowing phone visits

Provider Telehealth Policies

3.18.20


GQ

Univera


Commercial

99421-99423, 99441-99443, 99446-99449, 99451-99452, G2010, G2012 * Not Covered for Medicaid

Open-ended

For Medicaid Managed Care members,

telemedicine via audio-only telephone

communication,

Medical Policy for Telemedicine and

Telehealth

3.18.20

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Payer LOB Codes Modifier Waiver Effective Dates Waiver Notes Links

Last Revision

Date


GQ

facsimile machines, or electronic messaging alone, is not covered

under telehealth. OPA requesting an update,

awaiting response

WellCare


Commercial

99421-99423, 99441-99443, 99446-99449, 99451-99452, G2010, G2012

Open-ended

Per e-mail from provider rep, WellCare will

reimburse any codes listed on the Medicare

Fee Schedule

3.12.20


GQ

YourCare Medicaid, CHP

99441-99443 N/A 3/13/20 through end of current

State of Emergency

Allowing phone visits per Medicaid DOH

Update

YourCare Telemedicine Policy

3.18.20


GQ

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TELEHEALTH CODES

CPT code Short description Medicare allowed

IHA COM

IHA MCR

IHA Medi-source

BC/BS Com

BC/BS MCR

BC/BS Medicaid

NYS Medicaid

Telephonic Physician, non face-to-face service

*99441 Non-face-to-face Telephonic Service 5-10 min

TBD $ 15.75 $13.68 $ - $ 14.75 $ 13.91 $ 5.67 TBD

*99442 Non-face-to-face Telephonic Service 11-20 min

TBD $ 30.56 $26.54 $ - $ 28.66 $ 27.03 $ 10.48 TBD

*99443 Non-face-to-face Telephonic Service. 21-30 min

TBD $ 45.12 $39.19 $ - $ 42.31 $ 39.90 $ 15.56 TBD

Telephonic Non Physician, non face-to-face service

*98966 Non-physician/Non-face to face telephonic service 5-10 min

TBD $ 15.01 $ 13.68 $ - $ 15.60 $ 13.83 N/A

TBD *98967 Non-physician/Non-face to face telephonic service 11-20 min

TBD $ 29.12 $ 26.54 $ - $ 30.26 $ 26.83 N/A

*98968 Non-physician/Non-face to face telephonic service 21-30 min

TBD $43.00 $ 39.19 $ - $ 44.68 $ 39.62 N/A

Electronic Visits

**99421 E-Visit; Online Assess 5-10 min $ 14.96 $ 17.26 $ 14.99 TBD N/A N/A N/A TBD

**99422 E-Visit; Online Assess 11-20 min $ 26.38 $ 34.40 $ 29.87 TBD N/A N/A N/A TBD

**99423 E-Visit; Online Assess >21 min $ 42.01 $ 55.59 $ 48.28 TBD N/A N/A N/A TBD

**98970 crosswalk mdcr code G2061

Nurse E-visit; online assess 5-10 min $ 11.97 $ 13.17 $ 12.00 TBD N/A N/A N/A

TBD **98971 crosswalk mdcr code G2062

Nurse E-visit; online assess 11-20 min $ 21.21 $ 23.21 $ 21.15 TBD N/A N/A N/A

**98972 crosswalk mdcr code G2063

Nurse E-visit; online assess >21 min $ 33.06 $ 36.37 $ 33.15 TBD N/A N/A N/A

99446 Inter-professional telephone/ internet /electronic health records consultation 5-10 min

$ 17.76 $ 20.54 $ 17.84 TBD $ 20.34 $ 18.04 $ 14.26 TBD

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CPT code Short description Medicare allowed

IHA COM

IHA MCR

IHA Medi-source

BC/BS Com

BC/BS MCR

BC/BS Medicaid

NYS Medicaid


$ 35.87 $ 40.68 $ 35.33 $ - $ 40.28 $ 35.72 $ 28.23


$ 53.63 $ 61.22 $ 53.17 $ - $ 60.60 $ 53.74 $ 42.49

99449 Inter-professional telephone/ internet /electronic health records consultation >31 min

$ 71.50 $ 81.36 $ 70.66 $ - $ 80.55 $ 71.44 $ 56.74

TBD 99451

Inter-professional telephone/ internet /electronic health records consultation, 5 min of review & inter-professional communication time

$ 36.31 $ 41.72 $ 36.23 $ - $ 41.30 $ 36.63 $ 28.98

99452

Inter-professional telephone/ internet /electronic health records consultation, 5 min of review & inter-professional communication time

$ 36.31 $ 41.72 $ 36.23 $ - $ 41.30 $ 36.63 $ 28.98

***G2012 Virtual visit (brief check in by MD/APP 5-10 min $ 14.27 $ 16.39 $ 14.23 $ - $ 16.22 $ 14.39 N/A TBD

G2010 Remote eval of recorded video /images submitted by the patient $ 9.11 $ 14.02 $ 12.18 $ - $ 13.89 $ 12.31 N/A TBD

*Phone calls/Virtual visit cannot be billed if patient was seen in the past 7 days or results in a scheduled visit within 24 hours** Online digital evaluation and management service, can include portal discussions.

The physician or other qualified healthcare professional communicates with the patient via online communication to address a health issue for an established patient. During the encounter, she responds to the patient's health concerns, answers any medical questions, and recommends management.

The non-physician healthcare professional documents the encounter in the patient's record. She may follow up via telephone to review any questions the patient may have or may follow up via email. Report this code for amount of cumulative time spent in communication with the patient over a 7-day period.

*** The provider spends 5 to 10 minutes in technology–based communication with an established patient. (same criteria as the non-face to face telephone calls)

DOCUMENTATION REQUIREMENTS: 1. · TIME MUST BE DOCUMENTED and 2. · HISTORY/ ASSESSMENT AND PLAN DOCUMENTED POS is "02"

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LIST OF MEDICARE TELEHEALTH SERVICES

2020 Code

Short Descriptor 2020 Code

Short Descriptor

90785 Psytx complex interactive 90785 Psytx complex interactive 90791 Psych diagnostic evaluation 90791 Psych diagnostic evaluation 90792 Psych diag eval w/med srvcs 90792 Psych diag eval w/med srvcs 90832 Psytx pt&/family 30 minutes 90832 Psytx pt&/family 30 minutes 90833 Psytx pt&/fam w/e&m 30 min 90833 Psytx pt&/fam w/e&m 30 min 90834 Psytx pt&/family 45 minutes 90834 Psytx pt&/family 45 minutes 90836 Psytx pt&/fam w/e&m 45 min 90836 Psytx pt&/fam w/e&m 45 min 90837 Psytx pt&/family 60 minutes 90837 Psytx pt&/family 60 minutes 90838 Psytx pt&/fam w/e&m 60 min 90838 Psytx pt&/fam w/e&m 60 min 90839 Psytx crisis initial 60 min 90839 Psytx crisis initial 60 min 90840 Psytx crisis ea addl 30 min 90840 Psytx crisis ea addl 30 min 90845 Psychoanalysis 90845 Psychoanalysis 90846 Family psytx w/o patient 90846 Family psytx w/o patient 90847 Family psytx w/patient 90847 Family psytx w/patient 90951 Esrd serv 4 visits p mo <2yr 90951 Esrd serv 4 visits p mo <2yr 90952 Esrd serv 2-3 vsts p mo <2yr 90952 Esrd serv 2-3 vsts p mo <2yr 90954 Esrd serv 4 vsts p mo 2-11 90954 Esrd serv 4 vsts p mo 2-11 90955 Esrd srv 2-3 vsts p mo 2-11 90955 Esrd srv 2-3 vsts p mo 2-11 90957 Esrd srv 4 vsts p mo 12-19 90957 Esrd srv 4 vsts p mo 12-19 90958 Esrd srv 2-3 vsts p mo 12-19 90958 Esrd srv 2-3 vsts p mo 12-19 90960 Esrd srv 4 visits p mo 20+ 90960 Esrd srv 4 visits p mo 20+ 90961 Esrd srv 2-3 vsts p mo 20+ 90961 Esrd srv 2-3 vsts p mo 20+ 90963 Esrd home pt serv p mo <2yrs 90963 Esrd home pt serv p mo <2yrs 90964 Esrd home pt serv p mo 2-11 90964 Esrd home pt serv p mo 2-11 90965 Esrd home pt serv p mo 12-19 90965 Esrd home pt serv p mo 12-19 90966 Esrd home pt serv p mo 20+ 90966 Esrd home pt serv p mo 20+ 90967 Esrd home pt serv p day <2 90967 Esrd home pt serv p day <2 90968 Esrd home pt serv p day 2-11 90968 Esrd home pt serv p day 2-11 90969 Esrd home pt serv p day 12-19 90969 Esrd home pt serv p day 12-19 90970 Esrd home pt serv p day 20+ 90970 Esrd home pt serv p day 20+ 96116 Neurobehavioral status exam 96116 Neurobehavioral status exam 96150 Assess hlth/behave init 96150 Assess hlth/behave init 96151 Assess hlth/behave subseq 96151 Assess hlth/behave subseq 96152 Intervene hlth/behave indiv 96152 Intervene hlth/behave indiv 96153 Intervene hlth/behave group 96153 Intervene hlth/behave group 96154 Interv hlth/behav fam w/pt 96154 Interv hlth/behav fam w/pt 96160 Pt-focused hlth risk assmt 96160 Pt-focused hlth risk assmt 96161 Caregiver health risk assmt 96161 Caregiver health risk assmt

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2020 Code


Short Descriptor

97802 Medical nutrition indiv in 97802 Medical nutrition indiv in 97803 Med nutrition indiv subseq 97803 Med nutrition indiv subseq 97804 Medical nutrition group 97804 Medical nutrition group 99201 Office/outpatient visit new 99201 Office/outpatient visit new 99202 Office/outpatient visit new 99202 Office/outpatient visit new 99203 Office/outpatient visit new 99203 Office/outpatient visit new 99204 Office/outpatient visit new 99204 Office/outpatient visit new 99205 Office/outpatient visit new 99205 Office/outpatient visit new 99211 Office/outpatient visit est 99211 Office/outpatient visit est 99212 Office/outpatient visit est 99212 Office/outpatient visit est 99213 Office/outpatient visit est 99213 Office/outpatient visit est 99214 Office/outpatient visit est 99214 Office/outpatient visit est 99215 Office/outpatient visit est 99215 Office/outpatient visit est 99231 Subsequent hospital care 99231 Subsequent hospital care 99232 Subsequent hospital care 99232 Subsequent hospital care 99233 Subsequent hospital care 99233 Subsequent hospital care 99307 Nursing fac care subseq 99307 Nursing fac care subseq 99308 Nursing fac care subseq 99308 Nursing fac care subseq 99309 Nursing fac care subseq 99309 Nursing fac care subseq 99310 Nursing fac care subseq 99310 Nursing fac care subseq 99354 Prolonged service office 99354 Prolonged service office 99355 Prolonged service office 99355 Prolonged service office 99356 Prolonged service inpatient 99356 Prolonged service inpatient 99357 Prolonged service inpatient 99357 Prolonged service inpatient 99406 Behav chng smoking 3-10 min 99406 Behav chng smoking 3-10 min 99407 Behav chng smoking > 10 min 99407 Behav chng smoking > 10 min 99495 Trans care mgmt 14 day disch 99495 Trans care mgmt 14 day disch 99496 Trans care mgmt 7 day disch 99496 Trans care mgmt 7 day disch 99497 Advncd care plan 30 min 99497 Advncd care plan 30 min 99498 Advncd are plan addl 30 min 99498 Advncd are plan addl 30 min G0108 Diab manage trn per indiv G0108 Diab manage trn per indiv G0109 Diab manage trn ind/group G0109 Diab manage trn ind/group G0270 Mnt subs tx for change dx G0270 Mnt subs tx for change dx G0296 Visit to determ ldct elig G0296 Visit to determ ldct elig G0396 Alcohol/subs interv 15-30mn G0396 Alcohol/subs interv 15-30mn G0397 Alcohol/subs interv >30 min G0397 Alcohol/subs interv >30 min G0406 Inpt/tele follow up 15 G0406 Inpt/tele follow up 15 G0407 Inpt/tele follow up 25 G0407 Inpt/tele follow up 25

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2020 Code


Short Descriptor

G0408 Inpt/tele follow up 35 G0408 Inpt/tele follow up 35 G0420 Ed svc ckd ind per session G0420 Ed svc ckd ind per session G0421 Ed svc ckd grp per session G0421 Ed svc ckd grp per session G0425 Inpt/ed teleconsult30 G0425 Inpt/ed teleconsult30 G0426 Inpt/ed teleconsult50 G0426 Inpt/ed teleconsult50 G0427 Inpt/ed teleconsult70 G0427 Inpt/ed teleconsult70 G0436 Tobacco-use counsel 3-10 min G0436 Tobacco-use counsel 3-10 min G0437 Tobacco-use counsel>10min G0437 Tobacco-use counsel>10min G0438 Ppps, initial visit G0438 Ppps, initial visit G0439 Ppps, subseq visit G0439 Ppps, subseq visit G0442 Annual alcohol screen 15 min G0442 Annual alcohol screen 15 min G0443 Brief alcohol misuse counsel G0443 Brief alcohol misuse counsel G0444 Depression screen annual G0444 Depression screen annual G0445 High inten beh couns std 30m G0445 High inten beh couns std 30m G0446 Intens behave ther cardio dx G0446 Intens behave ther cardio dx G0447 Behavior counsel obesity 15m G0447 Behavior counsel obesity 15m G0459 Telehealth inpt pharm mgmt G0459 Telehealth inpt pharm mgmt G0506 Comp asses care plan ccm svc G0506 Comp asses care plan ccm svc G0508 Crit care telehea consult 60 G0508 Crit care telehea consult 60 G0509 Crit care telehea consult 50 G0509 Crit care telehea consult 50 G0513 Prolong prev svcs, first 30m G0513 Prolong prev svcs, first 30m G0514 Prolong prev svcs, addl 30m G0514 Prolong prev svcs, addl 30m G2086 Off base opioid tx first m G2087 Off base opioid tx, sub m G2088 Off opioid tx month add 30

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Last Edited 3/17/2020 at 10:30PM

CORONAVIRUS eHR DOCUMENTATION

NOTE: Documents will be updated regularly as information becomes available

TRIAGE WORKFLOW

Step 1: NON-CLINICAL PERSONNEL (Bypass Step 1 if Clinical staff is answering phone call)

If patient calls are being answered by non-clinical staff, create COVID-I triage for Office Request for COVID Screening and send to clinical staff within office

NOTE: Capture patient’s preferred phone #

If receiving high volume of calls for COVID screening, and clinical staff cannot keep up, create COVID-Q triage. Leave yourself as the user and keep triage open. This message will go to a bin managed by the COVID-19 Management Team.

Step 2:

CLINICAL PERSONNEL

1. Click Reason and select the “Covid-19” reason code to open the Coronavirus Screeningtemplate.

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2. Check the applicable boxes within the template based on the information the patient reports.

a. Symptoms: check any applicable symptom (s)b. Epidemiologic Risk: Answer each question as applicable

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3. Clinical staff to advise the patient we will contact them with further recommendations afterreviewing with clinician. Also, advise to have the patient remain at home until they hear backfrom us.

4. If screening meets any guidelines, change user on triage to Sarah Cleveland. This bin will bemanaged by a group of providers to confirm guidelines.

5. Provider managing triage will contact ECDOH with new provider number as needed.

6. Provider managing triage will create lab order for testing.

TRACKING LAB TEST SCREENING ORDERS

If testing is required, a lab order needs to be created. You must choose the correct lab company or the correct lab test options will not appear.

1. Create a lab order for Erie County DOH – Jesse Nash Health Center as a lab Locationusing COVID-19 as house code.

OR2. Create a lab order for LabCorp using 139900 as house code

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7. Once results are obtained, create Positive or Negative results triage.

Tracking COVID-19 Positive Lab Results

Tracking COVID-19 Negative Lab Results

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8. If screening does not meet any guidelines:

a. If patient’s PCP is within GPPC, route to patient’s PCP.

b. If patient’s PCP is NOT within GPPC, call patient’s PCP and forward triage for that officeto manage the testing.

MANAGING PATIENT PANEL

PATIENTS MEETING ANY OF THE FOLLOWING CRITERIA, PROCEED WITH REGULAR OFFICE VISIT

Non-Immuno-compromised Under 65 New Patients Well Visits Requiring diagnostics

FOR IMMUNO-COMPROMISED, TRAVEL BAN/UNABLE TO TRAVEL DUE TO QUARANTINE

1. Provider, Nurse or Manager to send PSR/Scheduling staff a triage for Request forTelemedicine using the triage code TELEM-REQ

2. Scheduling staff changes reason code to APPT TELEM and completes form after callingpatient for technical requirements

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Based on patient’s technical setup, choose Video Visits if possible and move to step 3, or choose Phone Visit and move to step 4.

NOTE: If patient is unable to schedule an appointment time, move to e-Visits section

3. VIDEO VISIT (Note – preferred telehealth method for current reimbursement)PSR/Scheduling Staff:

Change appointment type to “VIDEO”

Providers: Use regular progress note templates NOTE: Must edit exam section as needed to account for visual-only exam Use “Video Visit Use” template button to populate required verbiage for billing this

visit type

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4. PHONE VISIT

PSR/Scheduling Staff: Change appointment type to “T-EST”

Providers: Use regular progress note templates NOTE: Must edit exam section as needed to account for telephone-only exam Use “Phone Visit Use” template button to populate required verbiage for billing this visit

type Use drop down menu to indicate number of minutes spent with patientUtilize verbiage below drop-down menu as a guide to select the correct CPTcode

FOR PATIENTS NOT ABLE TO SCHEDULE AN APPOINTMENT WITH A PROVIDER, USE E-VISIT

o Low Back Paino Headache; Rasho URI (cough/cold)o UTI; Conjunctivitiso Sore Throato *Flu-like symptoms/ LRI/Cougho *This is not ready at of this moment but will be created by MEDENT today, 3/17/2020

NOTE: Patients will be charged $25 personal pay initially. Where appropriate, we will pass these claims to the payor.

PATIENTS THAT HAVE THE FOLLOWING CRITERIA, PROCEED WITH SETTING UP HOME VISIT INSTEAD

Unable to travel or quarantined Have significant co-morbidities Require more care than what can be delivered through telemedicine modalities

Contact your chronic care management nurse

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Office Video Telephone E-Visit

Type of Services All Established Established Established

Appointment Type All E/M and Diagnostics VIDEO T-EST N/A (auto populates)

Clinical Indications

New Visits Well Visits Non-immuno-

compromised Under 65 Requiring

Diagnostics

Immuno-compromised Travel ban or patient

unable to travel Flu-like symptoms Patient under

quarantine NO new or preventive

visits

No video or internet services available

Same clinical indications as Video Visits

NO new or preventive visits

Low Back Pain Headache; Rash URI (cough/cold) UTI; Conjunctivitis Sore Throat *Flu-like symptoms/

LRI/Cough

Templates Use regular provider templates

Use regular provider templates

Provider required to make exam changes based on visual exam

Use template button “Video Visit Use” to drive documentation requires noted above

Use regular provider templates

Use template button “Phone Visit Use” to drive documentation requirements noted above

*Awaiting Medentimplementation of “Flu-like symptoms/LRI/Cough template

Documentation unchanged

Due to a state of emergency this visit, at the verbal consent of the patient, is being conducted via videoconferencing

Visit was conducted at patient’s home in [City, State]

Total time with patient was XX

Due to a state of emergency this visit, at the verbal consent of the patient, is being conducted via telephone

Consent covered in portal

Billing unchanged

99212 – 99215 level based on MDM

MDM based codes

99441: 5-10 min 99442: 11-20 min 99443: 21+ min

Time based codes

99421: 5-10 min 99422: 11-20 min 99423: 21+ min

Time based codes

PATIENT REQUIRING SELF-QUARANTINE

1. Create Letter – Work Note Corona (LET-EXCORW)

NOTE: You must create this letter so that we can track the number of patients that we have sent to self-quarantine.

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