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Table 1 For telemedicine services with a house officer, the teaching physician must be physically present with the HO who is providing the service, or present through interactive telecommunications technology for the key portions of the service allowing the teaching physician to furnish assistance and direction. The house officer or teaching physician can add documentation: “Dr X was present for the key portions of the E/M service provided and agreed with the management.”

From: The importance of implementing inpatient virtual coverage in an endocrinology practice: lessons learned thus far from the COVID-19 pandemic

Reporting Non-Face to Face Inpatient Care During Pandemic
Document the type of connection used (video or telephone) and if telephone only, include that video was not available. If the provider is not in the facility when providing the service, add GT modifier to CPT code
Non-Face to Face Inpatient Care CPT Codes Comments
Consult to Inpatient Team Asynchronous 99451 Written report provided in electronic chart to the requesting physician/qualified professional
5–29 min of medical consultative time
No patient contact
Consult to Inpatient Team
Synchronous
99446–5–10 min
99447–11–20 min
99448–21–30 min
99449 - > 31 min
Do not report more than once in 7-day period. Do not report if consultant saw patient in last 14 days.
Only physicians may report.
Do not add GT Modifier to these codes
No patient contact
Consult to patient
Synchronous
Telephone only
99441–5–10 min
99442–11–20 min
99443–21–30 min
Patient contact but audio only
Must not originate from a related E/M service provided within the previous 7 days
Must not lead to an E/M service or procedure within the next 24 hours
Consult to patient (initial visit)
Synchronous
Virtual Visit (video call)
99251 – level one
99252 – level two
99253 – level three
99254 – level four
99255 – Level five
Patient contact with audio and video
These codes may be reported by MD, APP, or HO if Teaching Physician participates in key portion of service and only teaching physician time can be counted.
Subsequent Inpatient Visit
Synchronous
Virtual Visit
99231 – level 1
99232 – level 2
99233 – level 3
Patient contact with audio and video
Use same coding criteria as in-person visits. These codes may be reported by MD, APP, HO if Teaching Physician participates in key portion of service