Medicare’s virtual check-in codes

July 31, 2019
The AOA has long supported appropriate use of telehealth services that rely on an established doctor-patient relationship. CMS believes this new service can help increase efficiency.
Medicares virtual check-in codes

AOA Coding Experts Doug Morrow, O.D., Harvey Richman, O.D., Rebecca Wartman, O.D.

The AOA has long supported appropriate use of telehealth services that rely on an established doctor-patient relationship. For 2019, the Centers for Medicare & Medicaid Services (CMS) established a policy to pay separately for two new physicians' services that are provided with the use of communication technology:

HCPCS code G2012: Brief communication technology-based service (e.g., virtual check-in)

HCPCS code G2010: Remote evaluation of recorded video and/or images submitted by an established patient

Doctors of optometry can now be paid separately for G2012 when a patient checks in with the doctor by phone or through another telecommunications device to decide if an in-person o­ffice visit, or if different patient care, may be necessary. CMS believes that this new service can help to increase efficiency.

For more information regarding the requirements for billing these services, review the 2019 Final Rule, pages 59483 to 59489.

G2010 is intended to be reported when a doctor reviews recorded video and/or images submitted by an established patient. Doctors of optometry and other physicians can now be reimbursed for reviewing patient-transmitted photo or video information conducted via pre-recorded "store and forward" video or image technology. Again, the use of this technology and the physician's review is intended to determine whether an in-person visit is needed.

Reimbursement for these services varies by geographic location. For G2012 the range of reimbursement is approximately $12 to $18, while for G2010 reimbursement is approximately $8 to $16. To find reimbursement in your area, access the Medicare fee schedule look up.

AOA member resources for coding

AOA Coding Today is an online, comprehensive database that contains information in real time for CPT, ICD-10 and HCPCS coding and research. The website is tailored specifically to optometry, assists doctors and staff in correct reimbursement and compliance, and has an easy-to-use code diagnosis ability based on region.

Complete the online form for direct access to coding experts for answers to your coding questions.

Purchase coding resources from the AOA Marketplace.

Ask the coding experts

If you have any questions regarding Medical Records and Coding, please submit them by using the Coding Experts Submission Form and one of our coding experts will be in contact with you.

Related News

What your colleagues are asking about coding

For all your billing and coding head-scratchers, the AOA’s experts are available to help.

CMS releases 2023 Medicare PFS proposed rule, seeks comments

The proposed PFS has implications on several ophthalmic procedures’ RUC values, MIPS and telehealth services, and decreases the conversion factor and reimbursement without Congressional action.

Merit-based Incentive Payment System: What doctors should know

The latest updates on Merit-based Incentive Payment System participation and AOA MORE.