tci Medicare Compliance & Reimbursement - 2020 Issue Q4

Reader Questions: Know the Facts on COVID Swab Collection

Question: Our practice needs COVID-19 testing advice. If one of our clinicians does a telehealth visit with a patient, then instructs the patient to come to the office for a COVID-19 swab, does that qualify for 99211 or just the prep and handling code for a send-out specimen? Connecticut Subscriber Answer: The American Medical Association (AMA) offers guidance by way of a flow chart at www.ama-assn.org/system/files/2020-05/cpt-reporting-covid-19-testing.pdf. According to the AMA, you should report this encounter using the following CPT® codes: First, report the telehealth visit, adding modifier 95 (Synchronous Telemedicine Service Rendered Via a Real-Time Interactive...

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