CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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

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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- Betsy Nicoletti
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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.