You can use CPT code 99441 for a telephone evaluation and management service provided by a healthcare professional that lasts between 5-10 minutes and can be billed for an established patient, parent, or guardian.
What Is CPT Code 99441?
CPT 99441 describes a telephone evaluation and management service provided by a physician or other qualified healthcare professional.
CPT 99441 can be used for an established patient, parent, or guardian who did not receive a related evaluation and management service within the previous seven days and will not receive one within the next 24 hours or at the next available appointment.
99441 states that the service lasted 5-10 minutes and involved a medical discussion.
The CPT book describes CPT code 99441 as: “Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion.”
The provider conducts an E/M service via telephone for an established patient with a new complaint.
The conversation lasts between five and 10 minutes. The call cannot be connected to an E/M service within the past seven days and does not lead to an appointment within the next 24 hours or as soon as possible.
During the call, the provider obtains a brief history from the patient, reviews their current medications, makes a medical decision on recommended treatment, and advises the patient to call back if their symptoms do not improve.
The provider records the details and duration of the discussion in the patient’s chart.
How To Use CPT 99441
Document a medical discussion with other providers is included in CPT code 99441. The telephone evaluation has to last between 5-10 minutes. If the telephone evaluation lasts longer, use CPT code 99442 for 11-20 minutes or CPT code 99443 for 21-30 minutes.