tci Medicare Compliance & Reimbursement - 2023 Issue Q3

Part B Coding Coach: Figure Out How to Code for Virtual Care

Tip: Ensure documentation supports the codes. You may be scratching your head over how best to report digital E/M services now that the COVID-19 public health emergency (PHE) is over. Check out this advice on navigating and coding virtual evaluation and management (E/M) encounters post-pandemic. Understand Context of Codes An e-visit is a patient-initiated digital encounter that takes place through a secure online portal. There are two sets of codes. One is for encounters between a patient and physician: 99421 (Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the...

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