CTP Documentation and Billing 3

Question 1

A clinician uses an asynchronous store-and-forward method to review dermatology images and send back a diagnosis. Which CPT code category best captures this service?

Accepted Answer

Asynchronous store-and-forward codes such as 99453 or specialty-specific codes

Answer

Store-and-forward asynchronous services use specific codes, such as 99453 for remote monitoring setup or specialty-specific asynchronous codes, not standard synchronous E/M codes.

Question 2

Remote Patient Monitoring (RPM) setup and patient education on device use is billed using which CPT code?

Accepted Answer

99453

Answer

CPT 99453 covers the initial setup and patient education on the use of remote monitoring equipment.

Question 3

For RPM monthly management, CPT 99457 requires a minimum of how many minutes of clinical staff time per calendar month?

Accepted Answer

20 minutes

Answer

CPT 99457 requires at least 20 minutes of clinical staff time per calendar month, including at least one interactive communication with the patient.

Question 4

Which payer-specific modifier should be used instead of Modifier 95 when billing telehealth to Medicaid programs in many states?

Accepted Answer

Modifier GT

Answer

Modifier GT ('via interactive audio and video telecommunications systems') is commonly required by Medicaid programs and some other payers in place of Modifier 95.

Question 5

A provider conducts a 25-minute video E/M visit and also performs care management for 20 minutes on the same date. How should this be billed?

Accepted Answer

Bill the E/M with Modifier 25 to indicate a significant, separately identifiable service

Answer

Modifier 25 is appended to the E/M code to indicate it is a significant, separately identifiable service performed on the same day as another procedure or service.

(CTP) Certified Telehealth Practitioner Practice Test

(CTP) Certified Telehealth Practitioner Practice Test

CTP Documentation and Billing 3