More Income for You, as New Codes Cover Video Patient Visits, Virtual Check-in, Remote Monitoring

Betsy Nicoletti, MS

Disclosures

February 18, 2019

In This Article

Remote Evaluation of Patient-Submitted Info

The second new code unveiled by CMS is G2010, for remote evaluation of patient-submitted images and video. It has some of the same requirements as the virtual check-in.

In today's environment, most patients are equipped with a smartphone, providing them ready access to creating digital images and video at the push of a button, as well as easily transmitting them to a healthcare provider.

Patient consent is required—either verbal, written, or electronic. It may not arise from a service within the past 7 days or result in a service in the next 24 hours or the soonest available appointment.

Once the practitioner looks at the image or video, there must be subsequent communication by the practitioner or staff member to the patient. Follow-up with the patient is required in order to bill code G2010. If the image is insufficient to make a determination, it can't be billed. CMS states that this service may be provided only to an established patient.

Table 2. HCPCS Code G2010: Store and Forward

HCPCS Code Description wRVUs Total Nonfacility RVUs National Nonfacility Fee Amount
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (eg, store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment 0.18 0.35 $12.61
E/M = evaluation & management; HCPCS = Healthcare Common Procedure Coding System; RVU = relative value unit; wRVU = work relative value unit

More New Remote Monitoring Codes

There are three new CPT codes and one revised code for remote physiologic monitoring and treatment management services (Table 3). The codes allow medical practices to remotely monitor a patient's health metrics, assess chronic conditions, and make treatment changes. And, perhaps most important, get paid for performing the service.

Table 3. Remote Monitoring Codes

CPT Code Description wRVUs Total Nonfacility RVUs National Nonfacility Fee Amount
99453 Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment 0 0.54 $19.46
99454 Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days 0 1.78 $64.15
99091 Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified healthcare professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time, each 30 days 1.1 1.62 $58.38
99457 Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month 0.61 1.43 $51.54

CPT = Current Procedural Terminology; E/M = evaluation & management; RVU = relative value unit; wRVU = work relative value unit

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