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Telemedicine/Telehealth visits medical billing

CPT codes for Telemedicine medical claim billing

Many medical insurers accept the same evaluation and management (E&M) codes that you would use for a in-person appointment, such as CPT 99202 for a new patient level 2 encounter    

Modifier 95 can be appended to the E&M code (field 24D on the medical claim) to indicate that the encounter was a telemedicine visit, which stands for “Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunication system” 

Place of service code 02 specifies telemedicine (field 24B on the medical claim)

Some insurers accept the new 2020 CPT telemedicine codes for established patients:

- 99421  - Online digital evaluation and management service, for an established patient, for up to 7 days cumulative time during the 7 days; 5-10 minutes

- 99422 - 11—20 minutes

- 99423 - 21 or more minutes