Telemedicine: Always Ace Coding for Your E/M Telemedicine Services

Why This Topic Matters

Telemedicine claims can be denied if reporting details do not align with payer expectations. Understanding the current telehealth framework helps practices submit claims more accurately and keep abreast of Medicare and CPT reporting changes.

Article Sections

1. Learn Criteria for Medicare’s Telemedicine Services

   Introduces Medicare’s general telemedicine framework and the types of requirements that affect whether services are considered payable. Also points readers to related CMS reference materials.

2. Recognize New Star Symbol and Appendix P

   Summarizes CPT 2017 telemedicine reference updates, including the new appendix and the groupings of E/M services associated with telemedicine reporting. Discusses the related CPT notation used in the code set.

3. Meet New POS Code 02

   Covers the telehealth place-of-service update introduced for telemedicine claims and identifies the CMS source cited in the article.

4. Distinguish Between Modifiers GT/GQ & Modifier 95

   Describes telemedicine modifier reporting in a general way and notes that payer policies may vary. Also mentions the interaction between CPT and HCPCS modifier usage.