I’ve been trying to figure out what the difference is between CPT® codes 99446 and 99451. I finally found this in re-reading your article. Is this the only difference between these 2 codes?
- For 99446, 99447, 99448, 99449, if greater than 50% is in data review and/or analysis, do not bill those codes; according to CPT®, this doesn’t qualify
- 99451 may be billed if more than 50% of the 5-minute time is data review and/or analysis
I’m quite certain that I’m going to spend hours trying to make these new codes understandable to the docs, just for them to say it’s too much trouble for too little payment.
I’ve read this section over so many times…
99446-99449 require verbal and written feedback. Over half of the time must be spent in this verbal/electronic feedback.
“The majority of the service time reported (greater than 50%) must be devoted to the medical consultative verbal or Internet discussion).”
99451 doesn’t require it, and can be billed if more than 50% of the 5 minutes is in data analysis.
That’s what I see as the difference.
Relevant Search Terms: Interprofessional telephone consultations, electronic health record assessment and management service, remote consultations, Interprofessional Internet Consultations