Diabetes and COVID-19

Expand all | Collapse all

DSME codes

  • 1.  DSME codes

    Posted 03-31-2020 12:32
    What is the correct G code to use for a telephone or telehealth visit ?

    Thank you,

    Cathy Sparacia
    964 Oakwood Lane
    Myrtle Beach, SC
    29572


  • 2.  RE: DSME codes

    Posted 04-01-2020 12:24
    Use GT code and modifier append to any CPT​service delivery provided but CMS has been accepting with out modifiers also.

    ------------------------------
    R Ramanujan DMSC
    BINGHAMTON NY
    ------------------------------



  • 3.  RE: DSME codes

    Posted 04-01-2020 14:00
    Does anyone have the actual code?

    ------------------------------
    Tammy Krell RN, MSN
    SLMC
    Kemmerer WY
    ------------------------------



  • 4.  RE: DSME codes

    Posted 04-01-2020 14:38
    Hi Cathy,
    There are various G codes but for the basic virtual check-in, you would use G2012.  This is for Medicare part B, Medicare Advantage plans and some PPO's. From what I learned, this can only be used for existing patients. You should double-check with your biller for additional details.

    ------------------------------
    [Shelley] [Gath] [BS, DPM, DABMSP]
    [CEO]
    [Vantage Foot And Ankle Center]
    [Arcadia] [California]
    ------------------------------



  • 5.  RE: DSME codes

    Posted 04-02-2020 18:53
    We were told today that there were some updates and not to use the G2012 code but to use the 99441-99443 time based codes for both medicare and commercial.

    ------------------------------
    Cristin Bruns
    OKLAHOMA HEART INSTITUTE
    TULSA OK
    ------------------------------



  • 6.  RE: DSME codes

    Posted 04-02-2020 19:15
    Who told you this and can you share the documentation saying to use the 99441-99443 codes

    ------------------------------
    Tammy Krell RN, MSN
    SLMC
    Kemmerer WY
    ------------------------------



  • 7.  RE: DSME codes

    Posted 04-02-2020 19:30
    Our billing person. See Section #4 in link below. I should have mentioned that that is for physician billing (I am a physician)
    https://www.endocrine.org/-/media/endocrine/files/membership/summary-of-cms-rule-42020.pdf​

    ------------------------------
    Cristin Bruns
    OKLAHOMA HEART INSTITUTE
    TULSA OK
    ------------------------------



  • 8.  RE: DSME codes

    Posted 04-01-2020 14:41
    The billing for a telephone only visit is G2012
    A video visit can be billed using the same criteria as for a face to face visit - although I am finding that I usually need to go down a level with the absence of a PE

    ------------------------------
    Mary Korytkowski MD, MN, BSN
    UNIV OF PITTSBURGH
    PITTSBURGH PA
    ------------------------------



  • 9.  RE: DSME codes

    Posted 04-03-2020 12:57
    For a telehealth DSMES visit  please continue to use the same G codes as before:
    G0108 for 1:1
    G0109 for group
    Use 02 as the place of service

    Uzma Quraishi MA, RD
    Managing Director, Education Recognition Program
    American Diabetes Association
    Arlington VA

    ------------------------------
    Uzma Quraishi MA, RD
    Associate Director, Education Recognition Program
    American Diabetes Association
    Arlington VA
    ------------------------------