Be it any medical practice offering telehealth; one must adhere to the ICD 10 codes. There is no option for doctors, hospitals, or medical service providers to neglect such codes. In fact, they need to incorporate the telehealth strategy into their practice to stay in the competitive medical business.

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3 Essential ICD 10 Codes for Telehealth
Be it any medical practice offering telehealth; one must adhere to the ICD 10 codes.
There is no option for doctors, hospitals, or medical service providers to neglect such
codes. In fact, they need to incorporate the telehealth strategy into their practice to stay
in the competitive medical business.
However, there are also some challenges that telehealth facilitators are facing. It is
because telehealth is a broad category and encompasses managing a wide range of
complex situations. It ranges from remote monitoring of stroke patients to high-quality
virtual convenience care and managing episodic, acute, and sometimes non-emergent
conditions in fast, effective, and cost-efficient ways.

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3. What are the ICD 10 Codes in Telehealth?
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International Classification of Diseases (ICD) codes are a set of designations used by
healthcare providers to communicate diseases, symptoms, and findings of a patient’s
diagnosis. ICD 10 codes are used to establish the medical necessity of the telehealth
services to insurance providers for claiming the complete reimbursement.
While telehealth ICD 10 codes often appear on patient paperwork and bills, there are often
instances when the codes are miswritten. The onus is on the telehealth service providers to
ensure the correct codes are entered while necessary verbal or written consent is taken
from the patient for any virtual consultation.
It must be remembered that the ICD 10 codes for telephone consultation differ from those
used for video consultation and medical facility visits for the same condition suffered by
the patients.

4. Top 3 ICD 10 Codes for Telehealth
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ICD 10 has many codes, and telehealth providers must be careful in identifying the correct
code and entering it accordingly to ensure proper reimbursement of the claim. There are
four primary areas that the telehealth coders must be aware of while implementing the
codes:
Place of Service (POS)
Modifiers
Cost-Share Waiver
Cost-Share Coverage

5. Evaluation Management Services on
Telephone
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The codes for E/M (Evaluation Management) services for telephone or audio-only
has a different set of guidelines in ICD 10. In fact, the patient cannot be a part of a
related E/M service that has originated in the last seven days or led to the same
service in the next one day. The patient needs to be coded based on the duration
of the E/M service or medical discussions as follows:
5 – 10 mins – Code 99441
11 – 20 mins – Code 99442
21 – 30 mins – Code 99443

6. Patients Monitored Remotely
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The ICD 10 codes have also been valued by Medicare, where established and new
patients can avail of remote monitoring for chronic, acute, and single disease
conditions. A range of codes used under this category include:
99091 for interpretation and collection of physiological data.
99453 for educating the patient and set-up up the monitoring equipment.

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Emergency Department Telehealth
Services
Under this category, dozens of codes range from 99217 for discharge services for
observation care to G0406 – G0408, where telehealth consultation for inpatient follow-up
is done in SNFs or hospitals.
It is vital to note that in telehealth Emergency Department services, the coding needs to
be done for inpatient and observation. Also, a Modifier 95 is to be attached for
commercial payers, and the Medicare telehealth billing may use it for an interim purpose.

8. Why Adhering to ICD 10 in Telehealth
Billing is Important?
It is a known fact that when there is any incorrect coding in a bill, the reimbursement
from the insurance companies will be either rejected or denied, which means there is a
loss of revenue. With telehealth becoming a predominant way to get healthcare services
for many, the ICD 10 codes must be adhered to to ensure that medical practices and
practitioners get remuneration for their services.
But with new HIPPA codes, about 70,000 ICD 10 codes, and ever-changing health
regulation policies and software, keeping up with them can be challenging for any
practice. In such a scenario, Info Hub can help with the telehealth coding and billing
process and ensure no revenue loss due to rejected claims. Contact their experts right
now and understand the process regarding where to begin.

9. About Us
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Though there are several common benefits offered by offshore medical
billing companies, but choosing the right medical billing partner plays a
vital role. Info Hub is one of the leading offshore medical billing companies
in Coimbatore, India, with sophisticated infrastructure and skilled
manpower that is highly experienced in multiple aspects of medical billing
and coding, to support healthcare practices grow heights and develop
consistency in generating revenue.
If you are looking to outsource your medical billing and coding services to a
reliable outsourcing partner, Info Hub is your ideal choice. With more than a
decade experience in providing excellent medical billing and coding
services, Info Hub has earned high client value by building trust with its top-
notch services. For a quick appointment, make a call to +1-888-694-8634 /
+91-0422-4212455.

10. Contact Us
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Info Hub,
Sf No 558/2, Udayampalyam Rd, Nava
India,
Coimbatore,
Tamil Nadu 641028
Call Us: +91 829-745-6441
Email Us At: inquiry@infohubservices.com