tci E/M Coding Alert - 2014 Issue 8

You Be the Coder: Consider Including Telephone E/M in History or MDM

Question: We have a new patient that called his physician to discuss his visit that took place three days prior to the call. How do I code for this? Minnesota Subscriber  Answer: Unfortunately, depending on the payer you are billing to, the call on its own may not be billable.   Very few payers, Medicare included, reimburse for telephone call codes 99441–99443 (Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian …) and 98966-98968 (Telephone assessment and...

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