Consent for Communication Technology-Based Services (CTBS)

• Both CPT and CMS have developed codes for non-face-to-face communication-based technology services in recent years.
• In addition to care management services, these include interprofessional consults, remote physiologic and therapeutic monitoring, and on-line digital E/M services
• In the 2020 Physician Fee Schedule Final Rule, CMS clarified the type of patient consent that is required to perform (and bill for) these services, and this is still in effect

In 2019, CMS finalized payment for non-face-to-face, technology-based services, and noted that verbal consent would be required, and that this was a similar requirement as for care management services. These codes include the 2019 HCPCS codes G2010 and G2012 , G02252, added temporarily in 2021 and made permanent in 2022, interprofessional consult codes 99451, 99452, and 99446—99449. All of these services have beneficiary cost sharing associated with them, and CMS wants the patient informed of the cost to them before the services are provided.

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