Coverage: Medicare Hangs Up On Phone, Online E/M

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

Article Overview

This article reviews Medicare’s 2008 coverage position on several CPT evaluation and management and care-management services, including telephone and online encounters, team conferences, anticoagulation management, genetic counseling, and home ventilator management. It is aimed at coders, compliance staff, and physician practice leaders who need to understand which new services Medicare treated as bundled or noncovered and why that mattered for billing workflow and reimbursement planning.

Why This Topic Matters

It helps readers identify which newly introduced service categories were not payable or were treated as bundled under Medicare’s 2008 physician fee schedule, affecting coding strategy, charge capture, and practice revenue management.

What You Will Learn

  • Which categories of CPT service codes were discussed in relation to Medicare coverage decisions
  • How Medicare’s 2008 physician fee schedule affected payment status for certain E/M-related services
  • Why bundled status matters for practice billing and compliance planning
  • Which care-coordination and management service types were addressed in the article

Who Should Read This

  • Medical coders
  • Billing specialists
  • Compliance staff
  • Physician practice managers
  • Healthcare administrators

Codes Discussed

  • CPT: 98966
  • CPT: 98967
  • CPT: 98968
  • CPT: 98969
  • CPT: 99441
  • CPT: 99442
  • CPT: 99443
  • CPT: 99444
  • CPT: 99366
  • CPT: 99367
  • CPT: 99368
  • CPT: 99363
  • CPT: 99364
  • CPT: 96040
  • CPT: 94005

Code Ranges Discussed

  • CPT: 98966-98969
  • CPT: 99441-99444
  • CPT: 99366-99368
  • CPT: 99363-99364

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