tci E/M Coding Alert - 2020 Issue Q4

Reader Questions: Go With the Flow to Chart COVID Swab Collection

Question: If a provider has a telehealth visit with a patient, and the patient is then instructed to come to the office for a COVID-19 swab, does that qualify for 99211 or just the prep and handling code for a send-out specimen? New York Subscriber Answer: Per the flow chart at: www.ama-assn.org/system/files/2020-05/cpt-reporting-covid-19-testing.pdf, here’s how the American Medical Association (AMA) says you should report this encounter using CPT® codes: First, report the telehealth visit, adding modifier 95 (Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System) and the place of service (POS)...

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