The AMA and CMS Release New Coding and Billing Guidance for COVID-19

Last night, the AMA released new coding guidance for telehealth services.  In the release, the AMA also indicated they received updated guidance from CMS for providers who render telehealth services from their home.  The release states:

The AMA has received clarification from CMS that physician’s do not have to add their home to their Medicare enrollment file.  We expect CMS to update FAQ #11 soon.”

The AMA also published a 13-page guide containing multiple phone, virtual and telehealth patient encounter scenarios with associated CPT and ICD-10 guidance.  

The coding guide can be found at https://www.ama-assn.org/system/files/2020-03/covid-19-coding-advice.pdf

The CMS FAQs can be found at https://www.cms.gov/files/document/provider-enrollment-relief-faqs-covid-19.pdf

We recommend providing copies of the AMA guide to your providers as well as your coding and billing staff.  We also recommend referring to the CMS and AMA sites frequently as changes and updates are occurring rapidly.  

The HBE staff is continuing to monitor the developments and are available to assist you with your documentation, coding, utilization management and compliance needs. 

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