Karen Posted Mon 20th of February, 2017 15:26:43 PM
We have a psychologist that is had been seeing a pt and her sisters. She now does telephone therapy with the pt's sister. The phone therapy is about the pt. Which would be the correct CPT code to use and do you know if Medicare accepts that code? Thanks
SuperCoder Answered Tue 21st of February, 2017 06:40:50 AM
Telephones, facsimile (fax) machines and electronic mail systems do not meet the definition of an interactive telecommunications system. Hence, Telehealth services do not have separate billing codes.
Medicare will only pay for services: That mimic normal face-to-face interactions between beneficiaries and their health care providers.
The federal health care program will only pay for services: That are "face-to-face," interactive video consultation services where the patient is present at an eligible originating site and the psychologist or other provider is at a distant site.
The Centers for Medicare and Medicaid Services (CMS) will pay only for: Telehealth interaction use real-time audio and video communications between the patient and provider.
However, you may check with payer policy, some private policies may have coverage depending on state to state.
You may also go through below provided likes that will further guide you for telehealth services.