Telephone E/M

Telephone Services (99441-99443)

To report these non-face-to-face E/M codes, services must be provided by telephone at least 7 days after a face-to-face visit. Otherwise it is considered part of the post-service time of that visit and cannot be reported separately. If the telephone contact results in a face-to-face visit in the next 24 hours or the next available appointment time, the time becomes part of the pre-service time of that visit and cannot be reported separately. (Remember to check with the patient’s insurance whether these services are covered.)

Telephone E/M service provided to an established patient, parent/guardian

CPT Code Medical Discussion
99441 5 – 10 min
99442 11 – 20 min
99443 21 – 30 mins

Do not report if:

  • call refers to an E/M service performed and reported by that individual within the previous seven days (either requested or unsolicited patient follow-up) or within the postoperative period of the previously completed procedure,
  • reporting 99441-99444 performed in the previous seven days,
  • using 99339-99340, 99374-99380 for the same call[s],
  • reporting 93792, 93793 for home and outpatient INR monitoring,
  • during the same month with 99487-99489, or
  • performed during the service time of codes 99495 or 99496.

Published: Jun 21, 2021 by Scott Fisher | Updated Jun 21, 2021 @12:00 by Scott Fisher
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