A payer asks whether a specific CPT service is designated for reporting via synchronous telemedicine. Which CPT resource concept should the coder use?
Select an answer to reveal the explanation.
Short Explanation
Eligibility for live video reporting is a CPT appendix/designation question, not something you answer with neoplasm tables, DRG weights, or last year’s deleted phone codes. Use the current telemedicine services list concept.
Full Explanation
CPT maintains designations (including appendix-style listings) identifying services that may be reported via synchronous audiovisual telemedicine when other requirements are met. Diagnosis index tools, DRG weights, and obsolete deleted codes do not establish telemedicine eligibility for a current CPT service. Physician-office coders should consult the current CPT telemedicine guidance and still apply payer POS/modifier rules.