Medicine: Special Services, Procedures and Reports (Q&A) (December 2018)
December 2018 page 11
Medicine: Special Services, Procedures and Reports
Question: Would it be appropriate to report CPT code 99091 when patients send pictures of their burn wounds for evaluation and communication for ongoing care, ie, do these pictures qualify as a source of "physiological data" to be evaluated?
Answer: No, reviewing pictures received electronically would not, by itself, constitute physiological data collected over a specified amount of time, as defined by codes 99000-99091. CPT code 99091, Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/ or caregiver...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article explains a coding question about whether electronically sent wound images fit within the broader category of physiologic data review discussed in CPT medicine special services and reports. It is useful for coders, billers, and clinical documentation staff who handle remote patient information and need to understand the scope of the related CPT guidance covered in the Q&A format.
Why This Topic Matters
The article helps readers recognize the type of patient-submitted information discussed in this area of CPT and understand that the guidance is part of a special-services reporting framework. That makes it relevant for accurate documentation review and for identifying when a service falls within the topic addressed by the CPT Assistant guidance.
Article Sections
December 2018 page 11
A single Q&A item focused on medicine special services and reports, including a coding inquiry about electronically transmitted patient information and related CPT guidance.
What You Will Learn
The general scope of the CPT medicine special services and reports topic
How the article frames a question about electronically transmitted patient information
How this Q&A situates the guidance within the CPT Assistant format
What kind of documentation review scenario the article addresses at a high level
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