Requesting Provider:

• As the Requesting Provider, bill using the appropriate E&M code 99211, as well as the time spent in telemedicine collaboration.
• Charge a remote site facility fee Q3014.
• Check to see if the patient's insurance company needs a prior authorization.
• Note pre-auth info, along with the patient's insurance plan and ID# in the Question box as a courtesty to your consultant.

Consulting Provider:

• Out-patient services:
  96150 initial assessment
  96151 reassessment
• In-patient initial services:
  G0425 problem focused
  G0426 detailed, 50 min.
  G0427 comprehensive
• In-patient followup services:
  G0406 for 15 min.
  G0407 for 25 min.
  G0408 for 35 min.
• All require telehealth modifier
  GT for videoconferencing or
  GQ for store and forward.