Medicare Approves Reimbursement for Virtual Communication (G2012)

by  Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content
June 13th, 2019

Medicare has taken a stand to recognize communication technology-based services by approving two newly defined physicians' services that will significantly help providers who deal with phone calls and patient triage. One of these services includes: 

This is not a Telemedicine service, which would restrict it to specific patient locations but rather is a technology-based service like 99441-99443, which are reported to other payers for the same technology-based service. There are specific criteria that must be met in order to report this code, including: 

Documentation Requirements

To avoid issues with code compliance or audits, it is important that the provider understands what documentation requirements accompany reporting this code, which include: 

Medicare's HCPCS code describes the service as follows:

G2012  Brief communication technology-based service, e.g. virtual check-in, by a physician or  other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

References:

Medicare Approves Reimbursement for Virtual Communication (G2012). (2019, June 13). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/medicare-approves-reimbursement-for-virtual-communication-34965.html

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