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Interprofessional telehealth assessment and management services
November 1, 2022

This article is for mental health providers caring for our members

Effective November 1, 2022, the following interprofessional telephone/internet/electronic health record assessment and management services will be reimbursable only to mental health professional and facility providers. This payment policy applies to all products, excluding FEP.

For acute care and mental health hospitals and facilities that bill on a UB-04 form, you must bill the below codes with professional mental health revenue code 961. There is no telehealth reimbursement for any facility overhead.

Code Description
99446 Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review
99447 Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 11-20 minutes of medical consultative discussion and review
99448 Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 21-30 minutes of medical consultative discussion and review
99449 Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 31 minutes or more of medical consultative discussion and review
99451 Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time
99452 Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional, 30 minutes

Resources

  • Mental Health and Substance Use payment policy
  • Non-Reimbursable Services payment policy
  • Telehealth (Telemedicine) - Mental health payment policy

To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or, go to Office Resources>Policies & Guidelines>Payment Policies.

Questions?

If you have any questions, please call Network Management and Credentialing Services at 1-800-316-BLUE (2583). As always, thank you for the care you provide to our members.

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