decisionhealth Newsletters, Coder Pink Sheets - 2024 Issue 10 (October)
CPT 2025: Share details, 6 tips on the 16 new telemedicine E/M codes
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Article Overview
This article explains the CPT 2025 telemedicine E/M code update and summarizes the main categories of guidance practitioners need to review before using the new services. It is aimed at coding professionals, billers, and clinical staff who support virtual visits and want to understand the broad structure of the new real-time audio-video and audio-only encounter codes, along with related operational and documentation considerations.
Why This Topic Matters
Telemedicine reporting continues to evolve, and new CPT code families can affect how virtual encounters are documented, selected, and communicated to staff. This article helps readers determine whether the premium content is relevant to their workflow by outlining the scope of the new telemedicine E/M services and the general compliance and reporting issues discussed.
Article Sections
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Overview of the CPT 2025 telemedicine E/M update
Introduces the new telemedicine evaluation and management code set and describes its relationship to current virtual care reporting. It also frames the article around payer adoption and coverage considerations.
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How the new telemedicine code families are structured
Summarizes the broad organization of the new real-time telemedicine services and how they align with office and other outpatient E/M concepts. It also notes the general approach to selecting the appropriate service level.
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Example code discussion and related telemedicine reporting context
Provides an illustrative example from the new code family and contrasts these services with other virtual and online reporting options. It also touches on the broader place of non-real-time and recorded-service reporting.
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Audio-only encounter timing considerations
Highlights timing-related considerations that apply to audio-only telemedicine services. The section focuses on how staff should think about time tracking for these encounters.
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Six operational tips for telemedicine E/M
Lists practical workflow and documentation topics for staff training, including platform requirements, patient consent, connection type documentation, timing issues, frequency concerns, and same-day encounter handling.
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Two reporting cautions
Summarizes situations the article says should not be reported as telemedicine encounters. It also mentions coordination with certain care management services.
What You Will Learn
- The overall purpose and scope of the CPT 2025 telemedicine E/M update
- How the new telemedicine services are organized at a high level
- What documentation and workflow topics are emphasized for virtual encounters
- Which operational issues staff should watch when supporting telemedicine reporting
- How the article frames related virtual care services and reporting boundaries
Who Should Read This
- Coding professionals
- Medical billers
- Practice managers
- Clinical staff supporting telemedicine
- Physicians and qualified health care professionals
Codes Discussed
Code Ranges Discussed
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