HCPCS G9488 Code. Remote e/m est. pt 25mins


Table of content for "Remote e/m est. pt 25mins" (HCPCS G9488)

General information on the “G9488” code

HCPCS Code: G9488
Long Description: Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
Short Description: Remote e/m est. pt 25mins

Original information is taken from G9488 page

Pricing indicators

Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service

Processing Note Number: 0206
Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20160401
Code Effective Date: 20180101
Action Code: N – No maintenance for this code