CPT® Code 98969

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Online assessment and management service provided by a qualified nonphysician health care professional to an established patient or guardian, not originating from a related assessment and management service provided within the previous 7 days, using the Internet or similar electronic communications network

The CPT® Code 98969 refers to an online assessment and management service that is conducted by a qualified nonphysician health care professional for an established patient or their guardian. This service is initiated by the patient or guardian through electronic communication methods, such as email or other similar platforms. It is important to note that this service must not be related to any assessment and management service that was provided within the previous seven days, ensuring that the online encounter is distinct and separate from recent medical evaluations. Qualified nonphysician health care professionals who can perform this service include registered dietitians, physical therapists, occupational therapists, and speech-language pathologists. During the online assessment, the professional engages with the patient or guardian to review their complaints and concerns, answer any questions, request additional information as needed, provide counseling, and make modifications to the treatment plan if necessary. The entire interaction and the details of the service provided must be documented in the patient's medical record to maintain accurate and comprehensive health information.