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Encyclopedia of personal health records > Current Procedural Terminology (CPT) codes
Current Procedural Terminology (CPT) codes
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In the USA, CPT (Current Procedural Terminology) codes are numbers assigned to every task and service a medical practitioner may provide to a patient including medical, surgical and diagnostic services. They are then used by insurers to determine the amount of reimbursement that a practitioner will receive by an insurer. Since everyone uses the same codes to mean the same thing, they ensure uniformity.
Codes for telephone consultations
- 98966: Telephone assessment and management services provided by a qualified nonphysician health care professional to an established patient, parent or guardian not originating from a related assessment and management service provided within the previous seven days nor leading to an assessment and management service or procedure within the next 24 hours or soon- est available appointment; 5-10 minutes of medical discussion
- 98967:11-20 minutes of medical discussion
- 98968: 21-30 minutes of medical discussion
Codes for online consultations
2008 onwards
- 98969: Online evaluation and management service provided by a
qualified nonphysician health care professional to an established
patient, guardian or health care provider, not originating from a
related E/M service provided within the previous seven days, using the
Internet or similar electronic communications.
2004-2008
- 0074T: Online evaluation & management service, per encounter, provided by a physician, using the Internet or similar electronic communications network, in response to a patient’s request, established patient
Prior to 2004
- 99056 for “services provided at request of patient in a location other than physician’s office which are normally provided in the office”.
Sources
- New CPT codes affect billing for pediatric services. AAP Division of Health Care Finance and Quality Improvement AAP News. 2008; 29: 32
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CPT code for online consultation- A revolution in healthcare delivery? OnlineClinics.com
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