HCPCS G9986 Code. Remote e/m est. pt 40mins

HCPCS Code: G9986
Long Description: Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high 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, 40 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 40mins

Original information is taken from G9986 page

Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Coverage: C – Carrier judgment

Berenson-Eggers Type of Service (BETOS): M1B – Office visits - established
Type Of Service 1: 1 – Medical care

Anesthesia Base Unit Quantity: 0
Code Added Date: 20181001
Code Effective Date: 20181001
Action Code: N – No maintenance for this code