Page 15 - Hensler Surgical - Biosciences COVID Rapid Testing Proposal 4.24.2020 WEB

Where is the patient assessed?
�-------'l'-------�

In office Telehealth* or telephone Virtual check-in or online visit
.... Established Established
C New patient New patient Established patient New patient
GI patient patient
"' 99201 99212 99201* E/M: Telephone: N/A 99421
"'
GI 99202 99213 99202* 99212* 99441 (5-I0mlnJ
"'
"'
99422
99203 99214 99203* (ryplcal rime 1 o min.) (5-I0mln.) (11-20 min.)
99213* 99442
99204 99215 99204* (typical Ume 15 min.) (11-20min.) 99423
99205 99205* 99214* 99443 /21-30min.)
/typical rime 25 min.) /21-30mh) G2010
Remore images
99215*
/ryplcal rime 40 min.) G2012
Virtual check-in

Where is the swab collected?
�----�1�----�

During E/M in-person visit Go to office or group practice's testing Go to independent testing site

site for swab
N/A 99211 99001
(included In E/M) (separate day/ /Reported by sire/
99000
/if code requiremenrs are mer)
.... Where is the test performed?
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.. :::s Laboratory
>a (Reporred by laborarory/
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• = oe ti c r� ..-. I p,1)' 11 1 heil1r� 1t ,tfKt>" t • HY' not l. -• ,u1it t0 •r<u•e- p ,, ,el ••;0n,:;h r Information provided by the American Medical Association does not dictate payer reimbursement policy, and does not substitute for the
CMS requires use of modifier 95 for telehealth services; other payors may require its use professional Judgement of the practitioner performing a procedure, who remains responsible for correct coding,
lndMdual stares (through Executive Order) 0t payors may permit use o/ E/M codes with audio-only encounte<� Disclaimer: Information provided by the AMA contained within this Guk:te is for medical coding guidance purposes onty. It does not (i)
supersede or reP'ace the AJv4.A's Currtnt Procedural Termlnok> manual \CPT Manuali or other coding authority, (iQ constitute clinkal advke,
CMS will pe<mlt reporting of telehealth E/M office or other outpatient visits based on time or Medical Decision Making (MDM}. ftli) address or dictate payer coverage or reimbursement policy, and {Iv) substitute for the professlonal judgement of the praetitioner performing
a procedure, who remains responstble for correct coding,
CMS will allow telehealth office visits to be selected and documented based on total time on date of visit via CMS total time.
CPT C Copyright 2019 American Medical Association. All rights reserved. AMA and CPT are registered trademarks or the American Medical Association. To learn more about CPT licensing c c < ,