All you need to know about Telemedicine Coding

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the general scope of telemedicine coding during the COVID-19 pandemic and summarizes the CPT evaluation and management and consultation codes discussed for virtual services. It is aimed at coders, billers, and healthcare administrators who need a high-level understanding of telemedicine billing topics, compliance considerations, and the kinds of guidance commonly referenced when reporting remote visits.

Why This Topic Matters

Telemedicine billing changed rapidly during the pandemic, and staying current helps organizations reduce denials, support reimbursement, and align with temporary compliance guidance. The article provides a practical overview for readers trying to orient themselves to the main coding categories involved in virtual care.

Article Sections

  1. Telemedicine Coding During Covid-19 Pandemic

    Introduces the pandemic-era telemedicine context and discusses the general compliance and service-delivery themes associated with virtual care.

  2. CPT codes for Telemedicine and virtual E/M services

    Summarizes the CPT evaluation and management code categories referenced for virtual visits and explains the article’s organization of new, established, and consultation-related services.

  3. New Patients' Telemedicine Coding

    Covers the group of CPT codes discussed for new-patient telemedicine evaluation and management services.

  4. Established Patients' Telemedicine coding

    Covers the group of CPT codes discussed for established-patient telemedicine evaluation and management services and references related billing considerations.

  5. Consultation Telemedicine coding for new and established patients

    Covers the consultation-related CPT codes discussed in the article for telemedicine services involving new or established patients.

What You Will Learn

  • How the article frames telemedicine coding during the COVID-19 pandemic
  • Which broad CPT service categories are discussed for virtual care
  • How the article organizes new-patient, established-patient, and consultation telemedicine topics
  • What general compliance and reimbursement themes are emphasized for telemedicine billing

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Healthcare administrators
  • Physician practices
  • Billing companies

Codes Discussed

Code Ranges Discussed

  • CPT: 99241 TO 99245

Modifiers Discussed


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