CTP Insurance Coverage and Reimbursement Flashcards
6 cards from real CTP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CTP Insurance Coverage and Reimbursement flashcards as text
Which CPT code range is used for outpatient evaluation and management (E/M) services delivered via telehealth?
Answer: 99202–99215
CPT codes 99202–99215 cover outpatient E/M services and are also used for telehealth visits when billed with the appropriate place of service code.
Which CPT codes are used to bill for remote patient monitoring (RPM) device setup and treatment management?
Answer: 99453–99454 and 99457–99458
RPM is billed using CPT 99453–99454 for device setup/patient education and 99457–99458 for monitoring and treatment management time.
What is the minimum number of days of RPM data collection required within a 30-day period before billing CPT 99457?
Answer: 16 days
CMS requires at least 16 days of RPM data collection within a 30-day period before CPT 99457 can be billed for remote physiologic monitoring treatment management.
Which HCPCS code is used to bill for a brief virtual check-in where a practitioner assesses whether an in-person visit is needed?
Answer: G2012
HCPCS code G2012 covers brief communication technology-based services (virtual check-ins) that determine whether an in-person visit is warranted.
Which CPT codes cover interprofessional telephone or internet consultations where a specialist advises a treating provider without seeing the patient directly?
Answer: 99446–99449
CPT codes 99446–99449 are for interprofessional telephone, internet, or EHR consultations where a specialist advises a treating provider about patient care.
Which place of service code is used on a CMS-1500 form when a telehealth service is delivered to a patient at a location other than their home?
Answer: POS 02
POS 02 (Telehealth Provided Other Than in Patient's Home) is used when the patient receives telehealth at a location other than their residence.