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Posted By Mary Peabody on 06-03-2020, 17:51:41 in Ob-Gyn
Hello Melanie

Our GYN department is wanting to schedule new patients for a video visit with the NP, the NP will obtain the patient's history, review records and refer patient to the appropriate specialist. Can the NP bill this video visit with the Prolonged Service Non Direct Patient Contact, CPT 99358 or 99359? My understanding is that a video visit is the same as a face to face visit and these codes would not be appropriate.
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Posted By Melanie Witt on 06-04-2020, 18:52:20
Correct. The NP will bill this new patient visit as a regular E/M service, not a prolonged non-direct service. Remember that there must be an audio and visual connection. Also keep in mind that the government has announced that the end of the pandemic emergency for telehealth and other non-face-to-face services is slated to end July 24, 2020. This means that unless the emergency period is extended the original rules for telehealth will once again apply and that means the patient may not be seen at "home" via audiovisual equipment, but rather will have be present at a designated health facility. Please get very familiar with the pre-pandemic rules for phone calls, on-line communications and telehealth before this time period so that you will not be faced with serious billing issues later. This includes payers temporarily waiving timely filing rules.
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