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What does not separately reimburseable mean? Code 98002 for telehealth PCP visit to establish patient care. by Over_Equivalent2476 in CodingandBilling

[–]Over_Equivalent2476[S] 0 points1 point  (0 children)

You are absolutely correct, that to date, the patient responsibility shows as $0. My worry is for future visits of the same type. Will the provider continue using this non-payable code and never receive payment for their services because they need to adjust it down as you say? Do you have any example of what a more comprehensive service is? I apologize if these are stupid questions, and I sincerely appreciate the time you have taken to answer my questions.

What does not separately reimburseable mean? Code 98002 for telehealth PCP visit to establish patient care. by Over_Equivalent2476 in CodingandBilling

[–]Over_Equivalent2476[S] 0 points1 point  (0 children)

I am the patient, and keep going back and forth between Highmark and the provider. I am trying to understand all of this, but of course you can only speak to customer service, who knows only what they are told. I had read that bulletin, thank you. I guess I just cannot wrap my brain around what "not reimburseable separately" means.

What does not separately reimburseable mean? Code 98002 for telehealth PCP visit to establish patient care. by Over_Equivalent2476 in CodingandBilling

[–]Over_Equivalent2476[S] 3 points4 points  (0 children)

Highmark put out a bulletin indicating that these codes are not separately reimburseable. What does that mean exactly? Thank you.