Telephone E/M services for established patients

Under what category does Telephone E/M services for established patients fall?

Category I

What is the billing unit for Telephone E/M services for established patients?

Per online health behavior assessment and intervention

Modifiers

Typically, no modifiers are applied, but -95 for synchronous telemedicine service can be used

Clinical use

These codes are used for online health behavior assessment and intervention, typically in telehealth settings, to address and manage patients' behavioral health issues and concerns.

Documentation

Documentation for telehealth behavioral health services should encompass the patient's information, the reason for the service, assessment findings, treatment plan, medical decision-making, and the date of the telehealth session. Comprehensive records are vital for billing and effective mental health care.