What Is CPT Code 99358?

What is the CPT code for telemedicine?

A: The scenario you describe below is a fairly typical telemedicine service as you describe it.

The codes 99201-99205, 99211 – 99215, the consultation codes 99241-9945 and others can be reported with the telemedicine modifiers QT or 95 depending on the payer..

Does CPT 99354 need a modifier?

No need to append any modifier with 99215 and 99354 as the description says for 99354 “prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour”, which is used separately in addition to code for office or other outpatient evaluation and management …

What is CPT code c1713?

The appropriate HCPCS code for billing the private commercial insurer is C1713 (Anchor/screw for opposing bone-to-bone or soft tissue-to-bone [Implantable]), tendon-to-bone, or bone-to-bone.

Does 99358 need a modifier?

Report CPT code 99358. Coding tip: Because the pediatrician performed more than 30 minutes of work on a single calendar date, non-direct prolonged services can be reported. … Report CPT codes 99204 (with modifier 25), 99358 (with modifier 25) and 96111.

What does CPT code 99070 mean?

The non-specific CPT code 99070 (supplies and materials, except spectacles, provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)) is not reimbursable in any …

Are telephone encounters billable?

Telephone services (99441-99443) These codes can only be reported for an established patient and are not billable if the call results in the patient coming in for a face-to-face service within the next 24 hours (or next available urgent visit).

What is a GT modifier used for?

The GT modifier is used to indicate a service was rendered via synchronous telecommunication. In 2018, CMS replaced the GT modifier with POS 02.

What does CPT code 99358 mean?

CPT Code 99358 is for the first hour of non-face-to-face services and may be billed before or after direct patient care. CPT 99359 is an add-on code, only billable in conjunction with 99358.

How do I bill CPT 99358?

The codes follow CPT time rules. The physician, NP, or PA must spend more than half of the required one hour to report the codes. So, for example, you would bill 99358 for visits of 30-74 minutes. But you would bill 99358 and +99359 for a visit of 75 minutes or more, with +99359 for each additional 30-minute increment.

Is there a CPT code for chart review?

For the first hour of record review thereafter, CPT code 99358 shall be used. The medical provider must itemize the total time spent reviewing the medical records. From this figure, 30 minutes must be deducted and the balance can be billed under the same code.

How do you bill for prolonged services?

You may use code 99355 or 99357 to report each additional 30 minutes beyond the first hour of prolonged services, based on the place of service. These codes may be used to report the final 15 – 30 minutes of prolonged service on a given date, if not otherwise billed.

What is a 95 modifier?

95 Modifier Per the AMA, modifier 95 means: “synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system.” Modifier 95 is only for codes that are listed in Appendix P of the CPT manual.

What is GT code?

The Golden Torizo Code, also known as “GT Code”, is a leftover debug feature that occurs when the player enters Golden Torizo’s Room (from either entrance) while holding all of the face buttons (A, B, X, Y) on the frame that the game checks for the inputs during the horizontal door transition into the room.

What is CPT code a4550?

A4550 is a valid 2020 HCPCS code for Surgical trays used in Other medical items or services.

What is CPT e1399?

HCPCS code E1399 describes “durable medical equipment, miscellaneous” and is currently being used to bill for inexpensive DME subject to the rules of 42 C.F.R. … 414.229, and replacement parts of DME subject to the rules of 42 C.F.R. 414.210(e).