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CMS-1403-FC
As noted previously, CPT deleted the follow-up
inpatient consultation codes. We determined that there was
a need to establish a method by which practitioners could
provide and bill Medicare for follow-up inpatient
consultations delivered via telehealth, without allowing
the ongoing E/M of a hospital inpatient via telehealth.
Physicians and NPPs furnishing follow-up inpatient
consultations in a face-to-face encounter must continue to
utilize subsequent hospital care codes (as described by CPT
codes 99231 through 99233).
In response to commenters concerns that the new HCPCS
codes will not prevent the use of telehealth for the
ongoing E/M of an inpatient, we have modified the
definition of follow-up inpatient telehealth consultations.
We clarified that the criteria for these services will be
subject to and consistent with Medicare policy for
consultation services, including criteria that would
distinguish a follow-up consultation from a subsequent E/M
visit.
Result of Evaluation of 2009 Requests
We will finalize our proposal not to add DSMT (as
defined by HCPCS codes G0108 and G0109) and not to add
critical care services (as defined by HCPCS codes 99291 and
99292) to the list of Medicare telehealth services.
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