Practice Management

AMA Releases Coding Advice Related to COVID-19

  The AMA has created a quick reference flow chart for CPT reporting for COVID-19 testing that outlines coding options for testing patients for COVID-19. Although testing is not likely to be ordered by pain medicine practices, the flow chart summarizes the coding options for telemedicine, telephone and “virtual check-in” visits. Most of these options were explained in a previous article.

Physicians have contacted AAPM with concerns for caring for patients who are high-risk and do not have internet capabilities or skills. Medicare does not cover the codes for telephone services. However, Medicare pays for “virtual check-ins” (brief communication technology-based service) for patients to communicate with their doctors and avoid unnecessary trips to the doctor’s office. These virtual check-ins are for patients with an established (or existing) relationship with a physician where the communication is not related to a medical visit within the previous 7 days, and does not lead to a medical visit within the next 24 hours (or soonest appointment available and involves 5-10 minutes of medical discussion. The service is reported using HCPCS code G2012.

Patients must verbally consent to receive virtual check-in services; however, you can advise patients of the availability of the service. Medicare coinsurance and deductible apply to these services. The national average reimbursement for code G2012 is about $15.

A new page on the AMA website address CMS payment policies & regulatory flexibilities during COVID-19 emergency.

Leave a Reply

Your email address will not be published. Required fields are marked *

Privacy Settings
We use cookies to enhance your experience while using our website. If you are using our Services via a browser you can restrict, block or remove cookies through your web browser settings. We also use content and scripts from third parties that may use tracking technologies. You can selectively provide your consent below to allow such third party embeds. For complete information about the cookies we use, data we collect and how we process them, please check our Privacy Policy
Youtube
Consent to display content from Youtube
Vimeo
Consent to display content from Vimeo
Google Maps
Consent to display content from Google
Spotify
Consent to display content from Spotify
Sound Cloud
Consent to display content from Sound