As you begin to offer telehealth/telemedicine services, you will also need to chart and bill appropriately. Since these visits are not in person, they have their own set of codes and approximate pricing in order for you to accurately bill your patients and/or their insurance companies.

You’ll need to document a Telemedicine visit just as you would a direct contact visit via EHR or chart notes. It’s helpful to include start and stop time of call, what was discussed, pain scale, diagnosis, etc.⁣

Online Services:

99421
: Online digital E&M, up to 7 days, 5-10 minutes
(price would be approx. 40% of your rate for 97810/first 15 mins of Acupuncture)⁣

99422: Online digital E&M, up to 7 days, 11-20 minutes
(price would be approx. 85% of your rate for 97810/first 15 mins of Acupuncture)⁣

99423: Online digital E&M, up to 7 days, 21 or more minutes
(price would be approx. 140% of your rate for 97810/first 15 mins of Acupuncture)⁣

  • Pricing approximations listed here are suggestions, and actual pricing can differ by state and region. 
  • This should not be used for test results, scheduling appointments, or other communication that does not include E&M.
  • “Up to 7 days” means: online digital evaluation management service for an established patient for up to seven days of cumulative time during a seven day period, for five to 10 minutes. So this may mean several communications with a patient within a seven day time period, and the time would be cumulative. If you only have one visit during the seven days cumulative time, you can still bill for just this one.⁣
  • Also, if these codes are used for a condition you were already treating the patient for, it must be billed no sooner than 7 days after your last in office E&M. If it is a new problem/condition, you can bill at any time.⁣

Telephone calls:⁣

99441: 5-10 minutes of medical discussion
(price would be approx. 40% of your rate for 97810/first 15 mins of Acupuncture)⁣

99442: 11-20 minutes of medical discussion
(price would be approx. 80% of your rate for 97810/first 15 mins of Acupuncture)⁣

99443: 21-30 minutes of medical discussion
(price would be approx. 115% of your rate for 97810/first 15 mins of Acupuncture)⁣


Also, here are some offerings that can be covered through telemedicine:

  • Herbal suggestions 
  • Proper use of hot/cold packs to alleviate pain
  • Self-massage/acupressure
  • Joint protection
  • Stress management
  • Meditation
  • Exercises; including yoga, Tai Qi, ergonomic support, postural advice, and much more.⁣


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