CPT code 98006 refers to an online meeting between a healthcare provider and an existing patient to review the patient’s health and make necessary decisions. CPT 98006 represents “Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.”.
Procedure Explanation:
This code is used for a real-time video and audio appointment where the doctor gathers important health information and/or performs an examination of the patient’s condition. The appointment involves moderately complex decision-making and should last at least 30 minutes. Additional actions beyond the main assessment are not covered under this appointment type.
Common Names:
- Telehealth Visit
- Video Consultation
- Virtual Check-up
Relative Value Units (RVU):
The RVUs associated with this code are 1.92.
How This Procedure Appears:
- Operating Room Schedule Name: Not Applicable
- Surgical Consent Form Name: Synchronous Virtual Evaluation
Typical Patients and Diagnoses:
This type of appointment is often used for patients who regularly see their doctor and need follow-up consultations. For example, individuals with chronic conditions like diabetes or hypertension might use such virtual appointments to review their treatment plans, get prescription refills, or discuss ongoing symptoms.
Associated ICD-10 Codes:
- Z00.00: Routine general medical examination without abnormal findings.
- E11.9: Type 2 diabetes mellitus without complications.
- I10: Essential (primary) hypertension.
Summary
In summary, code 98006 describes a virtual consultation between a doctor and an established patient to evaluate health and make treatment decisions. Typical ICD-10 codes associated with 98006 include Z00.00 (routine exams) and E11.9 (Type 2 diabetes without complications).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.