Outpatient Facility Coding Alert - 2020 Issue 12
Reader Questions: Go With the Flow to Chart COVID Swab Collection
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Article Overview
This reader Q&A discusses billing and coding considerations for a COVID-19 testing workflow that begins with a telehealth visit and continues with an in-office specimen collection. It summarizes guidance tied to AMA materials and highlights reporting considerations for CPT® codes, modifier use, place-of-service reporting, and specimen handling, with a brief note on payer variation.
Why This Topic Matters
It helps coders and billing staff understand how to report a common testing workflow across connected services without missing the separate pieces involved in the encounter. The article is especially relevant for practices managing telehealth, office visits, and lab specimen processing under pandemic-era reporting guidance.
What You Will Learn
- How a telehealth encounter and follow-up specimen collection may be reported as separate services
- What kinds of CPT® reporting elements are discussed for the encounter
- Why payer-specific reporting policies may affect how the services are submitted
- How specimen handling and conveyance is addressed in the context of send-out testing
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Physician practices
- Telehealth billing personnel
Codes Discussed
Modifiers Discussed
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