HCPCS code G9481 — Remote e/m new pt 10mins. Status: Active. Effective Jan 1, 2018. Source: CMS HCPCS Level II.

G9481

Active

Remote e/m new pt 10mins

Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 2018
Code type: alphanumeric
OPPS Status: B — Code not recognized by OPPS — billed via another route

MUE — Medically Unlikely Edits

Maximum units of G9481 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 2
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits