CPT code 98007 refers to a virtual medical consultation conducted through audio and video for patients who are already under a doctor’s care. CPT 98007 represents “Synchronous audio-video visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.”.
Procedure Explanation:
This procedure involves a doctor connecting with a patient remotely via audio and video to assess health concerns and decide on the best course of action. The doctor might review the patient’s history or conduct an examination pertinent to their current condition, and it requires significant attention to detail and decision-making. Not included in this procedure are in-person examinations or testing; it strictly involves a virtual setting and must last at least 40 minutes to qualify under this specific code.
Common Names:
- Telehealth Visit
- Virtual Check-Up
- Online Health Consultation
Relative Value Units (RVU):
The RVUs associated with this code are 2.6.
How This Procedure Appears:
- Operating Room Schedule Name: Virtual Check-Up
- Surgical Consent Form Name: Audio-Video Health Consultation Agreement
Typical Patients and Diagnoses:
This procedure is commonly used for patients managing ongoing health issues that don’t require in-person examination, like chronic illnesses such as high blood pressure or diabetes. It is also beneficial for those who require regular monitoring but prefer to do so from home, especially during times when traveling is inconvenient, such as during severe weather or due to physical limitations.
Associated ICD-10 Codes:
- Z86.31: This code is used when consulting with a patient who has a history of hypertension.
- E11.9: This refers to a consultation for a patient with Type 2 diabetes who doesn’t have complications.
- F41.9: This code is for evaluations pertaining to anxiety disorders, unspecified, in a virtual setting.
Summary
In summary, code 98007 describes a virtual health visit via audio-video for evaluating and managing existing patients, relying on a detailed approach to patient interaction. Typical ICD-10 codes associated with 98007 include Z86.31 (for hypertension history) and E11.9 (for uncomplicated Type 2 diabetes).
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.