decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 1 (January)
Resounding “no”: Medicare answers payment question for new phone/online codes
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Article Overview
This article reviews Medicare’s response to the new CPT telephone and online evaluation and management service codes, including the agency’s payment status decision, related fee schedule context, and comments from CMS and AMA representatives. It is aimed at coders, billing staff, and clinicians who need to understand how these service categories were addressed in Medicare policy and how that may affect broader payer adoption.
Why This Topic Matters
It helps readers understand how Medicare treated these newer non-face-to-face service codes and why that matters for reimbursement planning, payer policy review, and coder education.
What You Will Learn
- How Medicare addressed coverage for new telephone and online E/M service codes
- Why the final physician fee schedule is relevant to these services
- What was noted about payer policy variation and future adoption
- How professional guidance framed the nonphysician healthcare professional category
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Clinicians
- Practice managers
Codes Discussed
Code Ranges Discussed
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