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    • Telehealth Visits. 99202 – 99215. Office or other outpatient visits. New and established patients. G0425 – G0427. Consultations, emergency department, or initial inpatient.
    • Virtual Check-Ins. G2010. Remote evaluation of recorded video and/or images submitted by an established patient (for example, 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.
    • Virtual Check-Ins (For providers who cannot independently bill for E/M services) G2250. Remote assessment of recorded video and/or images submitted by an established patient (for example, store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment.
    • Virtual Visit. 99421 –99423. Online digital evaluation and management service, for up to 7 days, a cumulative time during the 7 days. Established patient. G2061 – G2063.
  1. Telehealth services (virtual care) – as of March 13, 2020 • Billing changes have been made that allow telehealth fee codes to be used when the service is rendered over the telephone or by using video technology. • These fee codes can be utilized for all patients for all medical concerns, including but not limited to COVID-19. (i.e. if you ...

  2. Jun 17, 2020 · From March 16 – May 31, 2020, the same telehealth fee codes for visits, counselling and consultations done by phone or video are to be used for patients, regardless of age. (13037 and 13038 in most circumstances). From June 1 onwards, use the new fee codes for phone and video services. Please visit our COVID-19 billing page for more billing ...

    • OHIP Virtual Care Billing Codes. On March 14, 2020 the MOH and OMA created four temporary OHIP billing codes in the schedule of benefits to facilitate telemedicine and virtual care.
    • COVID-19 Diagnostic Code. A new diagnostic code, 080 with the description Coronavirus has been created to be used when the primary purpose for the service is treating patients with a suspected or confirmed case of COVID-19 whether in patient, by telephone, or video.
    • COVID-19 Vaccine Fee Codes. On March 6, 2021, the MOH announced new fee codes to support the vaccine roll out. There are three specific codes that you can bill for administering the COVID-19 vaccine.
    • COVID-19 Sessional Fee Codes. Two new sessional OHIP fee codes have been announced for physicians supporting vaccination services at hospitals or public health units (PHU) coordinated by COVID-19 Assessment Centres.
  3. Dec 28, 2023 · The policy and payment landscape around telehealth and telemedicine remains complex, and as the public health emergency expires, there will be some uncertainty to navigate related to telehealth policy, coding and payment. The AMA’s Advocacy team will continue to summarize the latest updates in federal and state policy.

  4. Medicare requires audio-video for most office visit evaluation and management (E/M) services (CPT codes 99202-99215) telehealth services. Audio-only encounters are allowed for certain services.

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  6. nd G858A. All J and Y prefixed fee codes with A, B or C suffixes (J***A, J***B, J***C, Y***A, Y. Form fee codes listed in the Schedule of Benefits and Schedule F: K050A, K051A, K052A, K036, K038,K027, K031. K070, K620. Physicians can complete these forms either before or after the telemedicine session and should submit the bills through the ...

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