Online digital E/M services for established patients

Online digital evaluation and management services.

Details

CPT code:

99421-99423

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Various, often used in primary care, telemedicine

Type:

Telehealth Evaluation and Management

CPT codes 99421-99423 pertain to online digital evaluation and management services. These codes are particularly valuable in the realm of telehealth, where healthcare professionals remotely assess and manage patients' health via digital means. They enable healthcare providers to deliver high-quality care and are essential for billing telehealth services appropriately.

Under what category does Online digital E/M services for established patients fall?

Category I

What is the billing unit for Online digital E/M services for established patients?

Per online evaluation and management service

Modifiers

Typically, no modifiers are applied, but -95 for synchronous telemedicine service can be used

Clinical use

These codes are used for online digital evaluation and management services, providing a telehealth option for assessing and managing patients' health conditions and concerns remotely.

Documentation

Proper documentation for telehealth services should include patient information, a description of the online encounter, the reason for the service, the medical history discussed, examination (if applicable), medical decision-making, and the date of the telehealth visit. Accurate records are essential for billing and continuity of care.

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