| Action | Patient evaluated via: E/M Telehealth |
|---|---|
| Who is performing | Physician / QHP |
| Applicable CPT Code(s) | Critical Care Services |
| 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes + 99292 Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) (Use 99292 in conjunction with 99291) | |
| Applicable ICD-10 CM codes | Non-COVID-19 patient: Code applicable diagnoses COVID-19 patient: Code applicable diagnoses, add U07.1, COVID-19 (Effective April 1, 2020 CDC Announcement |
| Place of Service | Report applicable site of care |
| Notes | 1 CMS requires use of modifier 95 for telehealth services; other payors may require its use 2 Individual states (through Executive Order) or payors may permit use of E/M codes with audio-only encounters. |
Summarize with
