Telemedicine Coding for Wound Care

Last updated on 2/5/25 | First published on 1/9/20 | Literature review current through Mar. 2025 [cite]

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Instructions: Click on the header of each column to sort (e.g., click on "CPT/ HCPCS codes" to sort by product names in alphabetical order), or use the "search" field to find a specific product.

Sources: AMA CPT® 2025 Professional Edition, Centers for Medicare and Medicaid (CMS). This table is constantly being updated, and new codes may be added or deleted without notice. Abbreviations: QHP: qualified healthcare professional - on this document the term includes: Physician, Nurse practitioner (NP), Certified nurse specialist (CNS), Physician assistant (PA), Certified nurse mid-wife (CNM), Certified registered nurse anesthetist (CRNA), Clinical social worker (CSW), Physical therapist (PT)

Summary of updates from previous topic version: DELETED codes: 99354-99357, G2061-G2063, 99327, 99328, 99334 to 99337, 99343. NEW codes: 98016 (replaces G2012)

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CPT/ HCPCS Codes	Description	Encounter type	Comments/ Notes
G2252	Brief chkin by md/qhp, 11-20 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion		Virtual check-in. Initiated by established pt., furnished by physician/QHP. Used when physician/QHP is not sure if patient needs an in person appt. 11-20 minutes of medical discussion Not originating from a related e/m service provided within the previous 7 days Not leading to a service or procedure within the next 24 hours or soonest available appointment Consent required Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Does not require that the patient or non-QHP clinician facilitating the service (requestor) create a WoundReference Free Basic account.
G2251	Brief chkin, 5-10, non-e/m Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion		Virtual check-in. Initiated by established pt., furnished by physician/QHP. Used when nonphysician QHP is not sure if patient needs an in person appt. 5-10 minutes of medical discussion Not originating from a related e/m service provided within the previous 7 days Not leading to a service or procedure within the next 24 hours or soonest available appointment Consent required Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Does not require that the patient or non-QHP clinician facilitating the service (requestor) create a WoundReference Free Basic account.
G2250	Remot img sub by pt, non e/m Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment	Patient to provider	Store-and-forward. For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs Initiated by established pt. Remote evaluation of recorded video and/or images submitted (e.g., store and forward) Includes interpretation with follow-up within 24 business hours, Not originating from a related E/M service provided within the previous 7 days Not leading to a service or procedure within the next 24 hours or soonest available appointment Consent required (verbal, written or electronic) Requires that the patient create a WoundReference Free Basic account and be able to send/receive emails Requestor needs a desktop/ tablet/ mobile with audio and camera and internet
G2010	Remot image submit by pt Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment	Patient to provider	Store-and-forward. Initiated by established pt., furnished by physician/QHP. Remote evaluation of recorded video and/or images submitted (e.g., store and forward) Includes interpretation with follow-up within 24 business hours, Not originating from a related E/M service provided within the previous 7 days Not leading to an E/M service or procedure within the next 24 hours or soonest available appointment Consent required (verbal, written or electronic) Requires that the patient or non-QHP clinician facilitating the service create a WoundReference Free Basic account and be able to send/receive emails Requestor needs a desktop/ tablet/ mobile with audio and camera and internet
99452	NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional, 30 minutes	Provider to Provider	Requestor code (physician or other QHP), first 16-30 minutes Report 99452 if spending 16-30 minutes/day preparing for the referral and/or communicating w/ consultant. Do not report more than 1x in 14-day period
99451	NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time	Provider to Provider	Consultant code, QHP to QHP, written report If >50% time spent on written assessment, management and documentation (as opposed to verbal discussion), report this code
99449	NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 31 minutes or more of medical consultative discussion and review	Provider to Provider	Consultant code, QHP to QHP, verbal and written report Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days Do not report more than once in 7 days Time based service: report if >50% service is verbal discussion
99448	NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 21-30 minutes of medical consultative discussion and review	Provider to Provider	Consultant code, QHP to QHP, verbal and written report Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days Do not report more than once in 7 days Time based service: report if >50% service is verbal discussion
99447	NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 11-20 minutes of medical consultative discussion and review	Provider to Provider	Consultant code, QHP to QHP, verbal and written report Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days Do not report more than once in 7 days Time based service: report if >50% service is verbal discussion
99446	NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review	Provider to Provider	Consultant code, QHP to QHP, verbal and written report Frequency: do not report if pt seen in the past 14 days or if ITC results in transfer or in-person consult in the next 14 days Do not report more than once in 7 days Time based service: report if >50% service is verbal discussion
99423	ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes	Patient to provider	Initiated by established pt., furnished by QHP. Encounter must be documented on a HIPAA compliant platform Requires E/M of the pt. Time based service, > 21 min. Reported once for the QHP’s cumulative time devoted to the service during a 7 day period.
99422	ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes	Patient to provider	Initiated by established pt., furnished by QHP. Encounter must be documented on a HIPAA compliant platform Requires E/M of the pt. Time based service, 11-20 min. Reported once for the QHP’s cumulative time devoted to the service during a 7 day period.
99421	ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes	Patient to provider	Initiated by established pt., furnished by QHP. Encounter must be documented on a HIPAA compliant platform Requires E/M of the pt. Time based service, 5-10 min. Reported once for the QHP’s cumulative time devoted to the service during a 7 day period.
99359	PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)	Provider to Provider	Requestor code, prolonged serv. code, patient not present w/ requesting QHP List separately in addition to code for prolonged service 99358 E.g.: if total duration of service is 30-74 min, report 99452x1, 99358x1; if 75-104 min, report 99452x1, 99358x1, 99359x1
99358	PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR Prolonged evaluation and management service before and/or after direct patient care; first hour	Provider to Provider	Requestor code. Use in addition to 99452 if the interprofessional telephone/Internet/electronic health record E/M service occurs when the patient is not present and the time spent in a day exceeds the 30 minutes covered by 99452 99358 may be reported on a different date than 99452 E.g.: if total duration of service is 30-74 min, report 99452x1, 99358x1; if 75-104 min, report 99452x1, 99358x1, 99359x1
99350	HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99349	HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99348	HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99347	HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99345	HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99344	HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99342	HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99341	HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.	Home Visits	CMS flexibilities to fight COVID-19 [2]
99316	NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME Nursing facility discharge management; more than 30 minutes total time on the date of the encounter	CMS Telehealth - Nursing facility discharge day management	CMS flexibilities to fight COVID-19 [2] Nursing facility discharge day management; more than 30 minutes
99315	NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME Nursing facility discharge management; 30 minutes or less total time on the date of the encounter	CMS Telehealth - Nursing facility discharge day management	CMS flexibilities to fight COVID-19 [2] Nursing facility discharge day management; 30 minutes or less
99310	SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.	CMS Telehealth - Subsequent Nursing Facility Care	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] Subsequent nursing facility care/day unstable/new prob 35 min
99309	SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.	CMS Telehealth - Subsequent Nursing Facility Care	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] Subsequent nursing facility care/day new problem 25 min
99308	SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.	CMS Telehealth - Subsequent Nursing Facility Care	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] Subsequent nursing facility care/day minor complication 15 min
99307	SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.	CMS Telehealth - Subsequent Nursing Facility Care	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] Subsequent nursing facility care/day E/M stable 10 min
99306	INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.	CMS Telehealth - Initial Nursing Facility Care	CMS flexibilities to fight COVID-19 [2] Initial Nursing Facility Care/Day 45 minute
99305	INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.	CMS Telehealth - Initial Nursing Facility Care	CMS flexibilities to fight COVID-19 [2] Initial Nursing Facility Care/Day 35 minute
99215	OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99214	OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99213	OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99212	OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99211	OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99205	OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99204	OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99203	OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
99202	OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.	Patient to provider (CMS Telehealth)	Geographical and care setting restrictions may apply. See CMS MLN Booklet [1] QHP must use interactive audio and video telecommunications system that permits real-time communication between provider and patient Store and forward allowed in AK and HI
98972	NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes	Patient to provider	Initiated by established pt., furnished by nonphysician qualified health care professional Patient problem may be new, but the patient is an established patient. Patient initiates services through HIPAA-compliant, secure platform that allow digital communication 21+ minutes of medical discussion during a 7 day period. 7 day period begins with the personal review of the initial inquiry, review of patient records or data, personal interaction with clinical staff focused on the patient's problem, development of management plans, including generation of prescriptions or ordering of tests, and subsequent communication with the patient through online, telephone, email or other digital communication. Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment Not originating from a related service provided within the previous 7 days Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment Consent required Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Telephone may also be used
98971	NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes	Patient to provider	Initiated by established pt., furnished by nonphysician qualified health care professional Patient problem may be new, but the patient is an established patient. Patient initiates services through HIPAA-compliant, secure platform that allow digital communication 11-20 minutes of medical discussion during a 7 day period. 7 day period begins with the personal review of the initial inquiry, review of patient records or data, personal interaction with clinical staff focused on the patient's problem, development of management plans, including generation of prescriptions or ordering of tests, and subsequent communication with the patient through online, telephone, email or other digital communication. Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment Not originating from a related service provided within the previous 7 days Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment Consent required Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Telephone may also be used
98970	NQHP OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes	Patient to provider	Initiated by established pt., furnished by nonphysician qualified health care professional Patient problem may be new, but the patient is an established patient. Patient initiates services through HIPAA-compliant, secure platform that allow digital communication 5-10 minutes of medical discussion during a 7 day period. 7 day period begins with the personal review of the initial inquiry, review of patient records or data, personal interaction with clinical staff focused on the patient's problem, development of management plans, including generation of prescriptions or ordering of tests, and subsequent communication with the patient through online, telephone, email or other digital communication. Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment Not originating from a related service provided within the previous 7 days Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment Consent required Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Telephone may also be used
98968	TELEPHONE ASSMT&MGMT SVC NQHP EST PT 21-30 MIN Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion	Patient to provider (CMS Telehealth)	Audio-only, 21-30 min For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs
98967	TELEPHONE ASSMT&MGMT SVC NQHP EST PT 11-20 MIN Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion	Patient to provider (CMS Telehealth)	Audio-only, 11-20 min For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs
98966	TELEPHONE ASSMT&MGMT SVC NQHP EST PT 5-10 MIN Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	Patient to provider (CMS Telehealth)	Audio-only, 5-10 min For clinicians who may not independently bill for E/M visits. For example, PTs, OTs, SLPs, CPs
98016 (replaces G2012)	BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN Brief communication technology-based service (eg, virtual check-in) by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related evaluation and management service provided within the previous 7 days nor leading to an evaluation and management service or procedure within the next 24 hours or soonest available appointment, 5-10 minutes of medical discussion	Patient to provider	Virtual check-in. Initiated by established pt., furnished by physician/QHP. Used when QHP not sure if patient needs an in person appt. 5-10 minutes of medical discussion Not originating from a related e/m service provided within the previous 7 days Not leading to an e/m service or procedure within the next 24 hours or soonest available appointment Consent required Can be furnished via WoundReference free, HIPAA compliant TeleVisit Tool Video Chat Edition (allows providers to see the wound, dressing etc). Does not require that the patient or non-QHP clinician facilitating the service (requestor) create a WoundReference Free Basic account.
99304	INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.	CMS Telehealth - Initial Nursing Facility Care	CMS flexibilities to fight COVID-19 [2] Initial Nursing Facility Care/Day 25 minutes

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

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Topic 1456 Version 2.0

Telemedicine Coding for Wound Care

Telemedicine Coding for Wound Care

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