A clinic conducts a real-time audio-video office visit that meets the payer’s telehealth rules for place of service and modifiers. Which reporting concept is most appropriate for the professional E/M?
Select an answer to reveal the explanation.
Short Explanation
Video visits that meet the payer’s telehealth rules are still office E/M—just dressed with the right POS and/or modifier. Don’t invent a new category or drop the professional service entirely.
Full Explanation
Qualifying audio-video visits are generally reported with the appropriate office/outpatient E/M plus the payer’s telehealth place-of-service and/or modifier requirements. Duration alone does not convert the service to critical care. Professional E/M remains billable when the physician performs the telehealth E/M; nursing-facility or modifier-26 constructs are not default telehealth office reporting.