An interprofessional telephone/Internet/electronic health record (EHR) assessment and management service occurs when a patient’s treating (eg, attending, primary) physician or other qualified health care professional (QHP) requests the opinion and/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or QHP in the diagnosis and/or management of the patient’s problem without patient face-to-face contact with the consultant. When the sole purpose of the telephone/Internet/EHR communication is to arrange a transfer of care or face-to-face service, these codes are not reported.

Codes for interprofessional telephone and Internet consultation (99446–99449) are changed in Current Procedural Terminology (CPT®) 2019 to include communication via EHR but still include verbal and written reports from the consultant to the referring provider. However, new code 99451 allows a consultant to report consultative time of 5 minutes or more spent in medical consultation with a written...

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