During COVID, the biggest impact was made on the healthcare sector because people are not allowed to go outside the home, and doctors are not able to treat their patients. This is where the demand for telehealth services grows rapidly, where now patients and doctors can connect virtually, examine patients, provide prescriptions, and provide most of the medical services remotely. It has become so convenient that even after COVID, patients and healthcare providers prefer telehealth services. But later, one major challenge arises in the adoption of telehealth services which is the complex process of reimbursement and proper billing for telehealth services. For easy tracking of medical services billing and reimbursement, Telehealth came up with relevant CPT (Current Procedural Terminology) codes. These Telehealth CPT Codes can describe the medical services and procedures that help in reimbursement.

So, if you’re running a healthcare organization and utilizing telehealth services, then it’s important for you to stay updated with CPT Codes. In this article, we’ve come up with a list of Telehealth CPT Codes cheat sheets, their significance, usage and how they make the billing and reimbursement process easier.

Table of Contents

• What Are Telehealth CPT Codes?
• Telehealth CPT Codes: Complete CheatSheet
• 5 Common Telehealth Billing Mistakes You Must Avoid
  • 1. Not Using Correct CPT Billing Codes
  • 2. Not training Team on Telehealth Billing Processes
  • 3. Not Checking Patient’s Insurance Beforehand
  • 4. Not Maintaining Post-visit Documentation
  • 5. Inadequate Data for Continuous Care
• How VCDoctor Can Help You Build Custom Telehealth Software?
• Wrapping Up!
• Telehealth CPT Codes CheatSheet – FAQs
  • Q.1 What is the POS code for telehealth?
  • Q.2 Where can I find the list of CPT codes?
  • Q.3 What are five common telehealth CPT codes?
  • Q.4 What is the reason to use CPT Codes?
  • Q.5 What are the six types of telehealth CPT codes?

What Are Telehealth CPT Codes?

Telehealth CPT Codes are alphanumeric codes, where each code is used to describe any specific medical procedure or service in remote healthcare. These CPT Codes help healthcare organizations utilize telehealth services more efficiently and ensure they’re tracking each process via systems and processes.

It mainly helps in billing and reimbursement time to do accurate billing with the code for the service or procure. So, most of the healthcare organizations that are offering medical services remotely face the challenge of billing and reimbursement, and these CPT codes make it easier to handle their program with a proper billing system with tracking codes.

Telehealth CPT Codes: Complete CheatSheet

Here are some common telehealth CPT Codes cheat sheets that you can use for your telehealth services:

CPT Codes	Category	Code Description	Patients
99202-99215	Telehealth visits	This code is used to describe the office or outpatient visits.	New and established patient
G0425-G0427	Telehealth visits	It refers to telehealth consultations, energy department trips or stays in the hospital initially.	New and established patient
G2010	Virtual Check-ins	This code refers to the assessment of the video or images recorded during the virtual consultation, including subsequent follow-ups with patients within 24 hours.	Established patient
G2061-G2063	Virtual Visit	It refers to the digital evaluation performed by a non-physician healthcare professional.	Established patient
G0508-G0509	Telemedicine Services	Known for critical care in telehealth consultation.	New and Established Patient
G2251	Virtual Check-ins (for those healthcare providers who can’t independently bill E/M services)	This code is used by those healthcare providers who are unable to bill E/M (evaluation and management) services. It leads to service within 7 days, not to a service or procedure within 24 hours or earlier. Its duration ranges from 5-10 minutes.	Established Patient
G0406-G0408	Telemedicine Services	It refers to follow-up inpatient consultation via telehealth software.	Established Patient
G0508-G0509	Telemedicine Services	Telehealth consultation for critical care	New and Established Patient
99451	Interprofessional Telephone/Internet/Electronic Health Record Consultation	This code is used when a consultative physician provides assessment and management services, including writing a report on a patient’s treatment and requesting a physician or other healthcare professional for medical consultative time.
99441-99443	Telephone Services	It refers to an evaluation and management report provided by a qualified healthcare professional to a patient, parent, or guardian not originating from an E/M service provided within 7 days or not leading to E/M service in the next 24 hours or easier appointment.	Established Patient
G2252	Virtual Check-Ins	A qualified healthcare professional providing communication technology-based service can report evaluation and management service that is not related to E/M service within the last 7 days or not leading to E/M service within the next 24 hours.	Established Patient
99452	Interprofessional Telephone/Internet/Electronic Health Record Consultation	It is used when a qualified healthcare professional or physician provides a referral service by treating or requesting within 30 minutes.
90791-90792	Psychiatric Diagnostic Evaluation	These codes are mainly used for Psychiatric telehealth visits and for initial Psychiatric assessments remotely.
G2012	Virtual Check-Ins	The Telehealth visit CPT codes are used when a healthcare professional provides communication technology-based service, who can report evaluation and management services but not organization from E/M Services provided within 7 days nor for E/M services provided within next 24 hours.	Established Patient

5 Common Telehealth Billing Mistakes You Must Avoid

When healthcare organizations are adapting telehealth services, then, they face some common billing mistakes that need to be avoided. Some of them are:

1. Not Using Correct CPT Billing Codes

The most common mistake that every medical professional and healthcare organization makes during the telehealth billing time is not using the right CPT code for the service or producing their billing. Submitting wrong CPT codes can lead to delayed reimbursement or flagged abuse. So make sure you are well aware of the latest telehealth CPT codes to use the right one for telehealth services and procedures during the billing.

2. Not training Team on Telehealth Billing Processes

Another mistake is possibly made because your team does not have the training to stay updated with the latest CPT codes and structured information. This leads to a big mistake and makes the billing process much more complex. So, train your team from time to time about CPT codes and ensure that the billing process is easier for them.

3. Not Checking Patient’s Insurance Beforehand

During telehealth billing, healthcare organizations do not check whether the patient has insurance for that telehealth service or procedure. So, you must call up the payer and confirm first that the service or procedure offered is covered by their insurance. It will save a lot of time and ensure an efficient billing system.

4. Not Maintaining Post-visit Documentation

It’s very essential that you document the right information during the telehealth visit. You can connect with your administrative team to ensure the type of information to record.

5. Inadequate Data for Continuous Care

Having a seamless platform is essential for health organizations; otherwise, it leads to mismatch information and ultimately leads to failure of the billing process. So make sure you’re using a telemedicine software solution for seamless process and efficient billing.

How VCDoctor Can Help You Build Custom Telehealth Software?

VCDoctor is a leading custom telehealth software solution provider that enables healthcare professionals and organizations to provide medical services remotely with better efficiency. We have a team of professionals who can provide a custom solution. Get in touch with our experts today!

Wrapping Up!

Telehealth CPT Codes play an essential role for healthcare professionals and organizations for seamless billing and reimbursement processes. That’s why we’ve listed some most common Telehealth CPT Codes cheat sheets for fast adoption of telehealth services. Now, it’s better to let the professional handle the technical side and provide a custom telehealth solution for your organization and expand your medical services remotely.

Telehealth CPT Codes CheatSheet – FAQs

Q.1 What is the POS code for telehealth?

There are two POS codes used in Telehealth are POS 02 and POS 10.

Q.2 Where can I find the list of CPT codes?

You can find the list of telehealth CPT codes 2024 to the Centers for Medicare & Medicaid Services. They offer a free search for CPT codes. Users can also request RVU data file licenses for easy code import and claim in medical billing.

Q.3 What are five common telehealth CPT codes?

The five most common Telehealth CPT codes 2023 are:

1. 99214 (Office O/P EST Low 30min)

2. 97110 (Therapeutic Exercises)

3. 97530 (Therapeutic Exercises)

4. 36415 (Routine Venipuncture)

5. 97140 (Manual therapy 1/> Regions)

Q.4 What is the reason to use CPT Codes?

The CPT codes help to streamline telehealth billing and reimbursement more accurately and efficiently.

Q.5 What are the six types of telehealth CPT codes?

 The CPT codes are divided into six parts, i.e., Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology, and Laboratory and Medicine.