© Copyright 2026 American Medical Association. All rights reserved.
The CPT® Code 0188T refers to a specific service involving remote real-time interactive video-conferenced critical care, evaluation, and management of patients who are critically ill or critically injured. This procedure is designed for situations where a physician, located off-site, provides essential critical care services through video conferencing technology. The primary purpose of this service is to enhance the level of care available to patients when on-site critical care resources are either insufficient or when specialized expertise is required from a physician who is not physically present at the patient's location. During this interaction, the off-site physician collaborates closely with the on-site medical team, which may include other physicians, nursing staff, and ancillary personnel, to ensure comprehensive care is delivered. The off-site physician is responsible for reviewing the patient's medical information, monitoring their condition through visual assessment via video, and making informed decisions regarding the patient's treatment plan. This includes the ability to order tests, interpret results, and initiate necessary medical interventions. The code 0188T specifically applies to the first 30 to 74 minutes of this remote critical care service provided on a given date, while additional time spent in this capacity can be billed using CPT® Code 0189T for each subsequent 30 minutes on the same calendar day.
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