Can 99091 be reported by an RN? Code description says "Physician or OQHCP, qualified by education, training, licensure/regulation". I interpret that to mean prescribing provider.
thank you,
Stephanie Hartsock, CPC
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Tag Archives: 99091
99091
To All Coders,
Just received a document stating CMS Un-Bundles CPT Code 99091 To Help Drive Healthcare Provider Reimbursement for Telemedicine.
What all does this in-tell? Does it have to be 30 minutes at one given time? Does the patient have to be notified electroically? Any information you may have would be most appreciated.
Ex: We have patients that email pictures to us on occasion, and they are reviewed by our physicians. A return phone call is made to the patient with instructions or advising the patient to come in for a consult. Would this suffice for reimbursement?
Also, do you know of any commercial carriers that are reimbursing 99091, or just Medicare?
99091
To All Coders,
Just received a document stating CMS Un-Bundles CPT Code 99091 To Help Drive Healthcare Provider Reimbursement for Telemedicine.
What all does this in-tell? Does it have to be 30 minutes at one given time? Does the patient have to be notified electronically? Any information you may have would be most appreciated.
Ex: We have patients that email pictures to us on occasion, and they are reviewed by our physicians. A return phone call is made to the patient with instructions or advising the patient to come in for a consult. Would this suffice for reimbursement?
Also, do you know of any commercial carriers that are reimbursing 99091, or just Medicare?
Unbundled CPT 99091
Hi All,
I’m soliciting all the coding expects. As you may know, CMS unbundled CPT 99091, Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, requires minimum 30 minutes. In the 2018 MPFS, it reads, CMS is allowing CPT code 99091 to be billed once per patient during the same service period as chronic care management (CCM) no more that once every 30 days.
My question is, would it be appropriate to bill this service if the required 30 minutes was spread within the month? I.e, Dr. A reviewed/adjusted Peter Pan’s CPAP downloaded data on the 1st, took 12 minutes, on the 10th, took 10 minutes and on the 26th took 8 minutes, for a total for 30 minutes.
Your input is very much appreciated.
Thank you,
Tiffany