3 Essential ICD 10 Codes for Telehealth

Be it any medical practice offering telehealth; one must adhere to the ICD 10 codes.

There is no option for doctors, hospitals, or medical service providers to neglect such codes. In fact, they need to incorporate the telehealth strategy into their practice to stay in the competitive medical business.

However, there are also some challenges that telehealth facilitators are facing. It is because telehealth is a broad category and encompasses managing a wide range of complex situations. It ranges from remote monitoring of stroke patients to high-quality virtual convenience care and managing episodic, acute, and sometimes non-emergent conditions in fast, effective, and cost-efficient ways.

What are the ICD 10 Codes in Telehealth?

International Classification of Diseases (ICD) codes are a set of designations used by healthcare providers to communicate diseases, symptoms, and findings of a patient’s diagnosis. ICD 10 codes are used to establish the medical necessity of the telehealth services to insurance providers for claiming the complete reimbursement.

While telehealth ICD 10 codes often appear on patient paperwork and bills, there are often instances when the codes are miswritten. The onus is on the telehealth service providers to ensure the correct codes are entered while necessary verbal or written consent is taken from the patient for any virtual consultation.

It must be remembered that the ICD 10 codes for telephone consultation differ from those used for video consultation and medical facility visits for the same condition suffered by the patients.

Top 3 ICD 10 Codes for Telehealth

ICD 10 has many codes, and telehealth providers must be careful in identifying the correct code and entering it accordingly to ensure proper reimbursement of the claim. There are four primary areas that the telehealth coders must be aware of while implementing the codes:

of Service (POS)

Evaluation Management Services on Telephone

Patients Monitored Remotely

The ICD 10 codes have also been valued by Medicare, where established and new patients can avail of remote monitoring for chronic, acute, and single disease conditions. A range of codes used under this category include: 99091 for interpretation and collection of physiological data. 99453 for educating the patient and set-up up the monitoring equipment.

Emergency Department Telehealth Services

Under this category, dozens of codes range from 99217 for discharge services for observation care to G0406 – G0408, where telehealth consultation for inpatient follow-up is done in SNFs or hospitals. It is vital to note that in telehealth Emergency Department services, the coding needs to be done for inpatient and observation. Also, a Modifier 95 is to be attached for commercial payers, and the Medicare telehealth billing may use it for an interim purpose.

Why Adhering to ICD 10 in Telehealth Billing is Important?

It is a known fact that when there is any incorrect coding in a bill, the reimbursement from the insurance companies will be either rejected or denied, which means there is a loss of revenue. With telehealth becoming a predominant way to get healthcare services for many, the ICD 10 codes must be adhered to to ensure that medical practices and practitioners get remuneration for their services.

But with new HIPPA codes, about 70,000 ICD 10 codes, and ever-changing health regulation policies and software, keeping up with them can be challenging for any practice. In such a scenario, Info Hub can help with the telehealth coding and billing process and ensure no revenue loss due to rejected claims. Contact their experts right now and understand the process regarding where to begin.

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If you are looking to outsource your medical billing and coding services to a reliable outsourcing partner, Info Hub is your ideal choice. With more than a decade experience in providing excellent medical billing and coding services, Info Hub has earned high client value by building trust with its topnotch services. For a quick appointment, make a call to +1-888-694-8634

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