AAP guidance for telemedicine WCCs

1

A provider of ours was on a AAP call last night and they were giving guidance for telemedicine WCCs. Anyone else on the call? Would love other thoughts and opinions on this.

DOCUMENTATION, CODING AND PAYMENT
Encounter #1: Initial Preventive Medicine Service (PMS) via Telemedicine
CPT 99381-99385 or 99391-99395
plus
Screening(s)/assessment(s) performed via telemedicine (eg, 96110, 96137, 96160, 96161) linked to the appropriate ICD-10-CM code:
Z00.110
Z00.111
Z00.121
Z00.129
Z00.00
Z00.01
Report the Place of Service (POS) Code (eg, 02, 11) and append the Telemedicine Modifier (eg, 95, GT) as required by the payer, which should be consistent with current policies required by the payer for Office or Other Outpatient Services (99201-99215) telemedicine visits

DOCUMENTATION, CODING AND PAYMENT
Encounter #2: Reporting an In-Person Visit to Complete Preventive Medicine Service Performed via Telemedicine
CPT 99024
plus
Each screening/vaccines service(s) performed on the same date of service (eg, 99177) linked to the appropriate ICD-10-CM code:
Z00.110
Z00.111
Z00.121
Z00.129
Z00.00
Z00.01
Or an alternate:
Z00.8
Report the CR (Catastrophe/Disaster-Related) modifier for the second encounter

3 Likes
2

Do you know if there is any written guidance on this subject that you know of from AAP?

3

https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/guidance-on-providing-pediatric-ambulatory-services-via-telehealth-during-covid-19/

4

I did not know you could do telemedicine for preventative. This is good to know. I appreciate you forwarding me the link.
Tiffany

5

I understand that this code specifically refers to post-op visits; will they be changing the definition of the code?

This is the first I’ve heard of a C/R modifier! What is it? (Don’t tell me every insurance company has it’s own!)

Thanks!