CPT Code for Online Counseling and Telephone Counseling

12_5_2008 002Question:

Dear Thriveworks,

I still never found the CPT codes for phone, Skype, or electronic therapy?

Do such codes exist? And do you know what they are?

Thank you so much,

Dan

 

Answer:

Greetings Dan,

Thanks for the question.
I might be able to provide some limited help on this one.

The CPT Code for online therapy is 0074-T. While it has been out for many years. However, very few insurance companies will pay for it.
I also did a web search and found some additional codes for telephone and online care. I’m not sure if these are still accurate, or who pays for them.
In general, I think you’re going to struggle getting reinbursement for telephone/online counseling. Trust me, I’ve tried! :-)
Here’s the information I found:

Telephone Services–Non-Physician Healthcare Provider

Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous seven days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment;

98966  : Healthcare Provider phone call 5 to 10 minutes of medical discussion

98967  : Healthcare Provider phone call 11 to 20 minutes of medical discussion

98968  : Healthcare Provider phone call 21 to 30 minutes of medical discussion

Online Services – Non-Physician Healthcare Provider

98969  : Online service by Healthcare Provider

I hope this helps!
Sincerely,
Anthony
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