What is CPT code G0407?

HCPCS code G0407 for Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth as maintained by CMS falls under Followup Telehealth Consultations .

What is CPT code for telehealth visit?

For these E-Visits, the patient must generate the initial inquiry and communications can occur over a 7-day period. The services may be billed using CPT codes 99421-99423 and HCPCS codes G2061-G2063, as applicable. The patient must verbally consent to receive virtual check-in services.

How do I bill my telehealth code?

When billing telehealth services, healthcare providers must bill the E&M code with place of service code 02 along with a GT or 95 modifier. Telehealth services not billed with 02 will be denied by the payer. This is true for Medicare or other insurance carriers.

What is CPT code G0425?

The neuropsychiatrist bills with a HCPCS code G0425, telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth.

What is the GT modifier for telehealth?

via interactive audio and video telecommunications systems
What is GT Modifier? GT is the modifier that is most commonly used for telehealth claims. Per the AMA, the modifier means “via interactive audio and video telecommunications systems.” You can append GT to any CPT code for services that were provided via telemedicine.

What modifier do I use for telehealth?

Physicians should append modifier -95 to the claim lines delivered via telehealth. Claims with POS 02 – Telehealth will be paid at the normal facility rate, which is typically less than the non-facility rate under the Medicare physician fee schedule.

Is G0425 for Medicare only?

G0425-G0427: Consultations, emergency department or initial inpatient (Medicare only) G0406-G0408: Follow-up inpatient telehealth consultations for patients in hospitals or SNFs (Medicare only)

Does Medicare pay for G0425?

7504-04.3 Effective January 1, 2012, Medicare contractors shall pay initial inpatient telehealth consultation codes G0425-G0427 with the GT or GQ modifier when billed with place of service (POS) emergency department in addition to inpatient hospital or skilled nursing facility (SNF).

Do I use GT or 95 modifier?

A GT modifier is an older coding modifier that serves a similar purpose as the 95 modifier. CMS recommends 95, different companies have varying standards for which codes to be billed. It is a good idea to check with the plans before billing.