| Action | Patient evaluated via: E/M Telehealth | |||
|---|---|---|---|---|
| Who is performing | Physician / QHP | |||
| Applicable CPT Code(s) | Initial hospital care neonate (28 days or younger) | Subsequent intensive care | ||
| Recovering very low birth weight infant (present body weight less than 1500 grams) | Recovering low birth weight infant (present body weight 15002000 grams) | Recovering infant (present body weight 25015000 grams) | ||
| 99477 | 99478 | 99479 | 99480 | |
| 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 | 21 Inpatient Hospital | |||
| 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. | |||


