Compliantly relay results on an imaging test via telehealth

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

Article Overview

This article addresses whether a telehealth visit used to communicate imaging findings can be reported in 2025, with discussion centered on telehealth evaluation and management documentation, medical necessity, and what distinguishes a billable encounter from a non-billable results discussion. It is relevant for orthopedics and other specialties that commonly review diagnostic imaging with patients and need current guidance for compliant documentation and telehealth service reporting.

Why This Topic Matters

Providers and coders need to know when a remote results discussion is an actual telehealth E/M service versus a simple communication of test findings, because that affects compliant reporting and documentation practices.

What You Will Learn

  • How telehealth encounters are evaluated for medical necessity
  • What broad documentation elements are relevant to a remote results discussion
  • How imaging-result follow-up encounters may differ from true evaluation and management services
  • What general considerations apply to telehealth-related billing in a post-PHE environment

Who Should Read This

  • Orthopedists
  • Physicians
  • Medical coders
  • Billing staff
  • Practice managers
  • Compliance professionals

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