Telemedicine: Tackle Telemedicine Coding With 2 Top Tips

Subscribe or sign in to view the full article.

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

Article Overview

This article explains broad telemedicine coding considerations for providers and coders working with remote clinical services. It focuses on staying current with evolving telehealth-related guidance, understanding how telemedicine differs from other virtual communication services, and recognizing common reporting elements referenced in CPT, HCPCS Level II, and Medicare-related guidance. The piece is useful for medical coders, billing staff, and practices implementing telemedicine workflows.

Why This Topic Matters

Telemedicine coding changes can affect how virtual services are reported and whether claims are submitted correctly. Understanding the article’s scope helps readers determine whether they need guidance on telehealth coding updates, modifiers, place-of-service reporting, or services that fall outside telemedicine.

Article Sections

  1. Definitions

    Introduces basic terminology and distinguishes related remote-care concepts. The section frames the broader coding context for telemedicine and telehealth.

  2. Tip 1: Stay Abreast of Telemedicine Coding Changes

    Covers the need to keep pace with evolving telemedicine coding guidance and mentions references used to identify relevant services. The section also addresses reporting elements tied to telehealth claims and Medicare-related updates.

  3. Modifier reminder

    Highlights a reporting reminder tied to telehealth claims and discusses the continued relevance of certain modifiers under specified circumstances.

  4. Tip 2: Know When It’s Not Telemedicine

    Explains that some communication-based services are treated differently from telemedicine. The section focuses on how to recognize categories of services that are excluded from telemedicine reporting.

  5. Review

    Provides a short reference list of telephone- and internet-based E/M services discussed in the article. The section supports identification of services that are not considered telemedicine.

  6. Resource

    Points readers to a Medicare telehealth reference document for additional background. This is a source citation rather than substantive coding guidance.

What You Will Learn

  • How the article distinguishes telemedicine from telehealth and related communication-based services
  • Which broad coding references are discussed for staying current with telemedicine guidance
  • What types of reporting elements are mentioned for telehealth claims
  • Which categories of services are described as outside telemedicine scope

Who Should Read This

  • Medical coders
  • Billing staff
  • Physician practices
  • Telehealth program administrators
  • Compliance and reimbursement staff

Codes Discussed

  • HCPCS Level II: G2012
  • HCPCS Level II: G2010
  • HCPCS Level II: G0513
  • HCPCS Level II: G0514
  • CPT: 99444

Code Ranges Discussed

  • CPT: 99441 through 99443
  • CPT: 98966 through 98968

Modifiers Discussed

  • CPT: 95
  • CPT: GT
  • CPT: GQ

Subscribe or sign in to view the full article.

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?