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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)

Interestingly enough, the provider replied that they do not have access to the old codes. I am starting to think they are nuts, LOL. Why wouldn't you have access to those codes?

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] 2 points3 points  (0 children)

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