====== Telemedicine ====== * Codes describe real-time, interactive encounters between physician or other QHP and patient. * Based on level of MDM or total time for E/M performed on date of encounter. * Not used for routine telecommunications related to a previous encounter (eg, to communicate lab results). * May be used for follow-up of previous encounter when follow-up is required. * Medicare allows audio only when the practitioner is audio-video capable, but the patient declines or is unable to use video. This should be clearly documented in the medical record. * Time being used for any E/M service should not be counted towards any separately billable service. (e.g. chronic care management or principal care management that accrues over a 30-day period) ==== Audio-Video Calls ==== ^New Patient Code^Description^ |98000|**Synchronous audio-video visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, __15 minutes must be met or exceeded.__| |98001|**Synchronous audio-video visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total time on the date of the encounter for code selection, __30 minutes must be met or exceeded.__| |98002|**Synchronous audio-video visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using total time on the date of the encounter for code selection, __45 minutes must be met or exceeded__.| |98003|**Synchronous audio-video visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total time on the date of the encounter for code selection, __60 minutes must be met or exceeded__. | For service that exceeds 74 minutes add code 99417 ^Established Pt Code^Descriptionj^ |98004|**Synchronous audio-video visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, __10 minutes must be met or exceeded__.| |98005|**Synchronous audio-video visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total time on the date of the encounter for code selection, __20 minutes must be met or exceeded__.| |98006|**Synchronous audio-video visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using total time on the date of the encounter for code selection, __30 minutes must be met or exceeded__.| |98007|**Synchronous audio-video visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total time on the date of the encounter for code selection, __40 minutes must be met or exceeded__.| For encounters 55+ minutes add code 99417 ==== Audio Only Calls ==== ^New Patient Code^Description^ |98008|**Synchronous audio-only visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, __15 minutes must be met or exceeded.__| |98009|**Synchronous audio-only visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total time on the date of the encounter for code selection, __30 minutes must be met or exceeded.__| |98010|**Synchronous audio-only visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using total time on the date of the encounter for code selection, __45 minutes must be met or exceeded__.| |98011|**Synchronous audio-only visit** for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total time on the date of the encounter for code selection, __60 minutes must be met or exceeded__. | For service that exceeds 74 minutes add code 99417 ^Established Pt Code^Descriptionj^ |980012|**Synchronous audio-only visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, __10 minutes must be met or exceeded__.| |98013|**Synchronous audio-only visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low medical decision making. When using total time on the date of the encounter for code selection, __20 minutes must be met or exceeded__.| |98014|**Synchronous audio-only visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using total time on the date of the encounter for code selection, __30 minutes must be met or exceeded__.| |98015|**Synchronous audio-only visit** for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total time on the date of the encounter for code selection, __40 minutes must be met or exceeded__.| For encounters 55+ minutes add code 99417 {{tag>coding}}