April 30, 2020
Question:
Our physician conducted a face-to-face telemedicine encounter with an established patient this week. The physician evaluated the patient who had fallen two days prior to the encounter and reviewed online X-Rays from the Urgent Care. His diagnosis was non-displaced right clavicle fracture; he agreed with the treatment plan initiated in the Urgent Care to continue the sling and provided other instructions to the patient. May we bill the E&M and 23500 for this encounter?
Answer:
Thank you for your inquiry in these challenging times. KZA recommends reporting this encounter with the E&M service alone and not the fracture code. Fracture codes are not approved Telemedicine/Telehealth CPT Codes.
We wish you the best in the days and weeks ahead.
*This response is based on the best information available as of 04/30/20.
