TABLE 2.

Virtual Visits for Providers Who Can Bill Evaluation and Management Services During COVID-19 Emergency⁹ (eg, Physicians, Nurse Practitioners, Physician Assistants, Nurse-Midwives, Clinical Nurse Specialists, Certified Registered Nurse Anesthetists)

Method of communication	What is the service?	CPT/HCPCS code	Patient relationship with provider	Documentation requirements	Suggested attestations	Payors
Zoom, FaceTime, Univago, American Well	A telehealth visit uses a real-time audio and visual system between a provider and a patient	99201 to 99215 (office or other outpatient visits) 99241 to 99245 (outpatient consultations) *99221 to 99223 (inpatient admissions) 99231 to 99233 (subsequent hospital day) 99251 to 99255 (inpatient consultations) *99281 to 99 285 (emergency department visits) *99291 to 99292 (critical care) For a complete list of Medicare-approved services, visit: https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes For all other payors: see CPT Appendix P All noncovered Medicare services, eg, consultations, will be cross-walked to the approved 99XXX/G-code	New or established	Documentation should mirror an in-person office visit Include your normal components of history, examination and medical decision making, or time-based statement Time-based attestation: “Total telehealth visit time____minutes, over half of which was spent counseling on______”. The provider should add modifier 95 at charge entry to indicate the service occurred via telehealth	This is a telehealth visit that was performed with the originating site at PATIENT LOCATION and the distant site at PROVIDER LOCATION Verbal consent to participate in video visit was obtained This particular visit occurred during the 2020 COVID19 outbreak I discussed with the patient the nature of our telehealth visits, that: I would evaluate the patient and recommend diagnostics and treatments based on my assessment Our sessions are not being recorded and that personal health information is protected Our team would provide follow up care in person if/when the patient needs it	All payors G (Medicare only)
Telephone only	A telephone evaluation and management (E/M) service provided to an established patient, parent, or guardian; the call cannot originate from a related E/M service provided within the previous 7 d nor lead to an E/M service or procedure within the next 24 h or soonest available appointment	99441 to 99443 (telephone E/M)G2012 (virtual check-in)	Established	Documentation should include a summary of the telephone discussion and the total amount of time spent in medical discussion.	This is a telephone visit that was performed on DATE OF SERVICE. Verbal consent to participate in the telephone visit was obtained. This particular visit occurred during the 2020 COVID-19 outbreakI discussed with the patient the nature of our telephone call, that: I would evaluate the patient and recommend diagnostics and treatments based on my assessment Our calls are not being recorded and that personal health information is protected Our team would provide follow up care in person if/when the patient needs it	Medicaid, Blue Cross; other payors may expand their policy during the COVID emergency
EMR exchange (portal)	An e-visit is a communication between a patient and their provider through an online patient portal; the portal communication must be initiated by the patient	99421 to 99423 (online digital E/M service) G2010 (remote evaluation of recorded video and/or images submitted by patient)	Established	Documentation should include how the patient was contacted and how much time was spent on each encounter This code covers all communication, both via the portal or via the telephone, over a cumulative 7 d period An appointment must be scheduled and checked in to ensure documentation on the correct encounter Suggestion: Addend the initial Cerner note to include cumulative services Include how the patient was contacted and how long was spent on each addendum.	This is an online digital evaluation and management service that was initiated from the patient on the date of service above via EMORY PATIENT PORTAL. This particular e-visit occurred during the 2020 COVID-19 outbreak, during which the government declared a public state of emergency. I spent XX minutes on DATE(S) OF SERVICE via PORTAL/TELEPHONE including answering the patient's direct questions, performing data review, reviewing and/or providing medications. The total time at the end of the 7 day billing period was_____	All payors G (Medicare only)

^*Allowed during COVID emergency.