What is the code for audio only telemedicine?
Asked by: Dr. Kenny Schimmel | Last update: August 30, 2025Score: 4.5/5 (38 votes)
What is the CPT code for audio only telemedicine?
"Audio Only" includes CPT codes 99441-3. "Other Telehealth" includes all claims with CPT codes 99201-5 or 99211- 5 plus a telehealth indicator, i.e. place of service equal to 02 and/or modifiers 95, GT, GQ, G0 on the claim.
What modifier is used for audio only?
Beginning in 2022, HCA required clinicians to bill audio-only services using the appropriate modifier (93 or FQ). Commercial payers and Medicare also began to accept code modifiers during that year.
What is the difference between 99441 and 99421?
If you are referring to 99421-99423, those are for ONLINE services only. If you are performing telephone encounters, 99441-99443 are the codes you are looking for. Please note these are for established patients only.
Does Medicare allow audio only telehealth?
Coverage of audio-only services: Medicare currently allows a limited set of telehealth services to be provided to patients via audio-only platforms, such as a telephone or a smartphone without video.
Telehealth Coding Updates for 2025: Audio & Video Visit CPT Changes
When to use GT or 95 modifier?
The two most commonly used modifiers are the GT modifier for telehealth service rendered via interactive audio and video telecommunications systems, and the 95 modifier for synchronous telemedicine service rendered via a real-time interactive audio and video communications system.
Does UHC cover audio only telehealth?
Urgent, on-demand health care delivered through live audio with video conferencing or audio only technology for treatment of acute but non-emergency medical needs. Covered on the same basis and to the same extent as covered health care services delivered in-person.
What is CPT code 99442 used for?
Healthcare providers utilize this code when engaging in prolonged face-to-face time with inpatients, extending beyond the usual duration of E/M services. Its application ensures accurate documentation of efforts in providing extended care during patient encounters in the inpatient setting.
What is the CPT code 99440?
CPT specifically states, "Do not report 99436 in conjunction with 99440." Therefore, you should always bill 99440 when you perform both delivery-room attendance and resuscitation. The work of attending a delivery is included in the relative value of 99440, which has a significantly higher payment than 99436.
Does Medicare pay for CPT code 99441?
Medicare. Beginning January 1, 2025, CPT Codes: 99441-99443 are no longer available.
What format is audio-only?
There are three major groups of audio file formats: Uncompressed audio formats, such as WAV, AIFF, AU or raw header-less PCM; Note wav can alternatively use compression. Formats with lossless compression, such as FLAC, Monkey's Audio (filename extension . ape ), WavPack (filename extension .
What is an example of audio code?
Examples of audio coding formats include MP3, AAC, Vorbis, FLAC, and Opus.
What is the modifier code for telemedicine?
CPT Telemedicine Codes
Modifier 95 indicates a synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system.
Can TCM visits be audio-only?
The non-face-to-face elements of TCM services may be provided in person or virtually (i.e., audio-visual or two-way audio technology), or a combination of both.
What is audio telemedicine?
Audio-only visits – Use of telephone for visits without video.
What code is used for telehealth?
Place of Service codes: When billing telehealth claims, it is important to understand the place of service (POS) codes as it affects reimbursement. POS 02 refers to telehealth provided other than in patient's home and POS 10 refers to telehealth provided in patient's home.
What is CPT code 99464?
CPT® code 99464 Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn means the provider is at the delivery, physically present in the delivery room with hands out, waiting for the baby.
What is CPT code 99341?
In the realm of Evaluation and Management (E/M) services, CPT code 99341 designates a low-complexity home visit for new patients, emphasizing the straightforward nature of care provided in the home setting.
What type of CPT code is 95800?
CPT code 95800 is published as Sleep study, unattended and CPT code 95801 is published as Sleep study, unattended with respiratory analysis. These two codes replace T codes 0203T and 0204T.
What is the CPT code for telehealth audio-only?
With the addition of CPT codes 98008-98015 for audio-only services, there is an overlap with codes for telephone calls. As of Jan. 1, codes 99441-99443 have been deleted (see Table 2).
What is the CPT code 99490?
CPT code 99490 - non-complex CCM is a 20-minute timed service provided by clinical staff to coordinate care across providers and support patient accountability.
What is code 99401?
Current Procedural Terminology (CPT®) codes 99401–99404 are used to report preventive medicine counseling and/or risk factor reduction intervention(s). 99401. Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes.
Does Medicare cover telehealth audio only?
Modality. Non-behavioral/mental telehealth services in Medicare can be delivered using audio-only communication platforms through March 31, 2025.
Does UHC pay for 99442 CPT code?
A: UnitedHealthcare Community Plan will not reimburse for these services (99441-99443 or 98966-98968), as they are considered included in the overall management of the patient.