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Virtual communication: two new HCPCS codes G2010 and G2012

Not considered telehealth

CMS developed two new codes for 2019 to pay a very small amount of money for a virtual check-in and for reviewing an image or recording, “store and forward.” They are HCPCS codes G2010 and G2012.

CMS said it doesn’t consider these to be telehealth services, although they are using “technology-based” and so they don’t need to meet the requirements of telehealth.

G2012 brief communication technology-based virtual check-in

Let me start with this. What technology can be used for this technology-based check-in?

Well, it includes the telephone. I’m not kidding you. Here’s a quote from the 2019 Final Rule:

“We are persuaded by the comments advising us not to be overly prescriptive about the technology that is used, and are finalizing allowing audio-only real-time telephone interactions in addition to synchronous, two-way audio interactions that are enhanced with video or other kinds of data transmission. We note that telephone calls that involve only clinical staff could not be billed using HCPCS code G2012 since the code explicitly describes (and requires) direct interaction between the patient and the billing practitioner.”

The service could be performed using more advanced technology, such as a patient portal or a HIPAA compliant video service. But, burying the lede here, they are allowing telephone!

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Accurate at time of posting: November 27, 2018
by Betsy Nicoletti
Tagged With: Physician Billing

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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