The Centers for Medicare and Medicaid Services (CMS) has published a revised edition of MLN Matters Number: MM11814 on July 16, 2020 that provides an update of the Hospital Outpatient Prospective Payment System (OPPS). This update contains information on the Telephone Services CPT codes (98966 – 98968) as well as the virtual check-in and E-Visit Level II HCPCS Codes (G2010, G2012, and G2061-G2063). Click HERE to access MM11814.

This article was updated on May 29, 2020. See below for answers that have been updated. The Centers for Medicare and Medicaid Services (CMS) has issued guidance regarding the billing of E-Visits and Telephone Services provided by physical therapists, occupational therapists and speech-language pathologists. In this article, I will provide you the information via a question and answer format. QuestionWhat is the update that CMS released and how does it pertain to the E-Visits and Telephone Services? Answer (Updated on May 26, 2020) QuestionWhat codes were added to the list of “sometimes therapy” services? Answer QuestionSince the above codes have

QuestionWhat is the difference between an E-Visit and a Telehealth Visit? Answer I hope you found this article helpful. Click HERE to read the difference between an E-Visit and a Telephone Service. Thank you for being a Gold Member!

Due to the Public Health Emergency (PHE) as a result of the COVID-19 Pandemic, the Centers for Medicare and Medicaid Services (CMS) have designated the following CPT codes and HCPCS Level II codes as “sometimes therapy” CPT codes: G2010: Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment G2012: Brief communication technology-based

As you can imagine, providers of outpatient therapy services are confused regarding E-Visits and Telephone Services and what is the difference between them and when do I use each one. In this article, I will answer some of the more frequent questions I am receiving regarding the differences between E-Visits and Telephone Services. If you have not read my article on Telephone Services I published on April 2, 2020, click HERE. In addition, check out my FAQs on E-Visits for Therapy Services. QuestionWhat are the E-Visit codes I should use for traditional Medicare? Answer QuestionWhat are the E-Visit codes I

On March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule with comment period discussing CPT codes 98966, 98967 and 98968. The description of each of these CPT codes per the American Medical Association CPT 2020 Professional Edition, page 747 are as follows: 98966: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours