© Copyright 2026 American Medical Association. All rights reserved.
The CPT® Code 0189T refers to the provision of off-site critical care evaluation and management services for critically ill or critically injured patients through remote real-time interactive video-conferencing. This service is designed to enhance on-site critical care when immediate critical care is unavailable or when the expertise of a specialized physician is required from a remote location. The off-site physician collaborates with the on-site medical team, which may include other physicians, nursing staff, and ancillary personnel, to review essential patient information and formulate a comprehensive plan of care. This collaboration ensures that the patient receives timely and appropriate critical care interventions. The off-site physician is responsible for monitoring the patient's condition, assessing any complications that may arise, and ordering necessary medical interventions. Through video technology, the remote physician can visually assess the patient, order diagnostic tests, and interpret the results, thereby facilitating real-time decision-making. The off-site physician also has the authority to initiate changes to the treatment plan and direct interventions as required. It is important to note that CPT® Code 0189T is specifically used to bill for each additional 30 minutes of remote critical care services provided on the same calendar day, following the initial 30-74 minutes of service, which is billed using CPT® Code 0188T.
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