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Billing for phone time.

Susan Posted Mon 22nd of August, 2016 17:07:03 PM
My doctor would like to know if there is any way to bill for phone time managing patients in labor and delivery. This would be time relaying orders to the nursing staff. I can't see how if the patient is not seen by them.
SuperCoder Answered Tue 23rd of August, 2016 01:43:24 AM

Hi,

CPT does offer three telephone service codes:

• 99441 -- Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian 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; 5-10 minutes of medical discussion

• 99442 -- ... 11-20 minutes of medical discussion

• 99443 -- ... 21-30 minutes of medical discussion.

The code descriptors for these codes specify that you cannot report 99441-99443 within seven days of an E/M service. Codes 99441-99443 were established to describe a telephone service initiated by an established patient and provided by your physician. The codes represent non-face-toface E/M services provided by your physician that do not lead to a related office visit (99212-99215, Office or other outpatient visit for the evaluation and management of an established patient ...).

Furthermore, you cannot report a telephone E/M service if the call is in reference to a specific procedure and the call occurs within the postoperative period of that procedure.

If your physician's telephone service ends with a decision to see the patient within 24 hours -- or the next available urgent visit appointment -- do not report a telephone service code. In this event, the phone encounter is considered part of the preservice work of the subsequent E/M service, procedure, and visit.

Thanks

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