Anthem Scenario 1

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Established patient visit with a provider who uses an audio-video or audio-only telecommunications system for COVID-19 or non-COVID-19 related care.

 

Step 1. Use appropriate Office Visit E/M code:  99211-99215

 

Step 2. Use place of service that would have been reported had the service been furnished in person: 02 or 10 (when patient is at home)

 

Step 3. Use Modifier: 95

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Step 4. Refer to Centers for Disease Control and Prevention (CDC) ICD-10-CM Official Coding Guidelines.

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Anthem Scenario 2

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Established patient visit with a provider who uses an audio-video or audio-only telecommunications system for evaluating need for COVID-19 testing.

 

Step 1. Use appropriate Office Visit E/M code: 99211-99215

 

Step 2. Use place of service that would have been reported had the service been furnished in person: 02 or 10 (when patient is at home)

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Step 3. Use Modifier: 95

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Step 4. Refer to Centers for Disease Control and Prevention (CDC) ICD-10-CM Official Coding Guidelines.

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Anthem Scenario 3

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Established patient with COVID-19 diagnosis visits with a provider who uses an audio-video or audio-only telecommunications system.

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Step 1. Use appropriate Office Visit E/M code: 99211-99215

 

Step 2. Use place of service that would have been reported had the service been furnished in person: 02 or 10 (when patient is at home)

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Step 3. Use Modifier: 95

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Step 4. Refer to Centers for Disease Control and Prevention (CDC) ICD-10-CM Official Coding Guidelines.

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Anthem Scenario 4

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New patient visit with a provider who uses an audio-video or audio-only telecommunications system COVID-19 or non-COVID-19 related care.

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Step 1. Use appropriate Office Visit E/M code: 99202-99205

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Step 2. Use place of service that would have been reported had the service been furnished in person: 02 or 10 (when patient is at home)

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Step 3. Use Modifier: 95

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Step 4. Refer to Centers for Disease Control and Prevention (CDC) ICD-10-CM Official Coding Guidelines.

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Anthem Scenario 5

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New patient visit with provider who uses and audio-video or audio-only telecommunications system for evaluating need for COVID-19 testing.

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Step 1. Use appropriate Office Visit E/M code: 99202-99205

 

Step 2. Use place of service that would have been reported had the service been furnished in person: 02 or 10 (when patient is at home)

 

Step 3. Use Modifier: 95

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Step 4. Refer to Centers for Disease Control and Prevention (CDC) ICD-10-CM Official Coding Guidelines.

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Anthem E-Visit Scenario 1

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Electronic Visit (e-visit) Communication between an established patient through an online patient portal for COVID-19 or non-COVID-19 related care.

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Step 1. Use appropriate Office Visit E/M code: 99421-99425

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Step 2. Use place of service that would have been reported had the service been furnished in person: 02 or 10 (when patient is at home)

 

 

Step 3. No Modifier.

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Step 4. Refer to Centers for Disease Control and Prevention (CDC) ICD-10-CM Official Coding Guidelines.

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Anthem Virtual Check In Scenario 1

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Virtual Check-In. A brief check-in with the provider using audio-only with established patient for COVID-19 or non-COVID-19 related care.

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Step 1. Use appropriate HCPCS code: G2012

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Step 2. Use place of service: 02 or 10 (when patient is at home)

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Step 3. No Modifier.

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Step 4. Refer to Centers for Disease Control and Prevention (CDC)  ICD-10-CM Official Coding Guidelines.

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Anthem Virtual Check In Scenario 2

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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.

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Step 1. Use appropriate HCPCS code: G2010

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Step 2. Use place of service: 02 or 10 (when patient is at home)

 

 

Step 3. No modifier. 

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Step 4. Refer to Centers for Disease Control and Prevention (CDC)  ICD-10-CM Official Coding Guidelines.

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Anthem Telephone Assessment

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Telephone assessment and management service by a physician or other qualified healthcare professional to establish a patient, parent or guardian not related to E/M service provided within the past seven days or leading to an E/M service or procedure within 24 hours or the soonest available appointment.

 

Step 1. Use appropriate Office Visit E/M code: 99441- 99443

 

Step 2. Use place of service: 02 or 10 (when patient is at home)

 

Step 3. No Modifier

 

Step 4. Refer to Centers for Disease Control and Prevention (CDC) ICD-10-CM Official Coding Guidelines.

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