What is the difference between G2012 and 99441?

Q: We cannot seem to settle this debate at my obstetrics/gynecology office: What is the difference between G2012 and 99441? A: The codes are very similar. One is an HCPCS code and the other is the first of three CPT diagnostic codes.

What is procedure code 99441?

99441: telephone E/M service; 5-10 minutes of medical discussion.

What is CPT code G2012 used for?

HCPCS code G2012 for Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor …

Is G2012 considered telehealth?

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.

Does Medicare pay for 99441?

Health and Education Services Medicare payment for the telephone evaluation and management visits (CPT codes 99441-99443) is equivalent to the Medicare payment for office/outpatient visits with established patients effective March 1, 2020.

Can physicians bill for phone calls?

In some cases, doctors are billing for telephone calls that used to be free. Patients say doctors and insurers are charging them upfront for video appointments and phone calls — and not just copays but sometimes the entire cost of the visit, even if it’s covered by insurance.

Who can bill G2012 CPT?

HCPCS code G2012: Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor …

When should G2012 be used?

This code is for use when the check-in does not result from a service within the past 7 days, or result in a service in the next 24 hours, or next available appointment. It is for a brief, non-face-to-face service provided by a physician or non-physician practitioner, not a staff member.

How do I bill CPT code G2012?

When billing for virtual check-ins, use the following CPT codes: G2012: 5-10 minutes of medical discussion. CMS intends you to use code G2012 to determine if an in-person appointment is required. (reimburses approximately $15)