Telehealth, telemedicine, and other related and interchangeable terms generally refer to the exchange of medical information by electronic communication in order to improve the patient’s health.

Telehealth offers medical patients the ability to continue to care for their patients, especially during the current global COVID-19 pandemic. In order to mitigate exposure of patients who are sick, those who are at-risk due to other conditions, and healthcare workers, practices are heavily encouraged to use telehealth when possible and to establish all regulations and protocols. 

For the time being, many Medicare restrictions have been lifted related to telehealth. CMS is expanding their telehealth restrictions on a temporary and emergency basis under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Act.

For E-Visits, patients must generate the initial inquiry and communications can occur over a week period. These services may be billed using CPT codes 99421-99423 and HCPCS codes G2061-G2063 as applicable. The patient, of course, must verbally consent to receive virtual check-in services. 

CPT codes for telehealth (99421-99423):

  • 99421: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes  
  • 99422: Online digital evaluation and management service, for an established patient, for up to 7 days cumulative time during the 7 days; 11-20 minutes 
  • 99423: Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes

HCPCS codes for telehealth (G2061-G2063):

  • G2061: Qualified non-physician healthcare professional online assessment and management, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes 
  • G2062: Qualified non-physician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes 
  • G2063: Qualified non-physician qualified healthcare professional assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes

Be sure to join MMI’s upcoming live webinar Thursday, April 23rd at 1 pm EST, Expanding your Telehealth Options in Today’s Practice Environment with Emmy Clancy, MHA, CMPE, CPC, CDEO, CPMA, CCS. 

In this webinar, Emmy will explain telehealth requirements and updates in response to COVID-19. 

Some topics that will be discussed are: 

  • Telehealth requirements as of 1/1/2020
  • 1135 Blanket Waivers – Emergency telehealth expansion as of today
  • Allowed Services
  • Software and documentation requirements
  • POS, HCPCS codes, and modifiers
  • Changes in frequency requirements
  • How to engage the patient and your staff in the telehealth process

We hope to see you on the webinar on April 23, 2020 or purchase the On Demand here!