Support Agent - PennyHow to bill K083 for follow-up/assessments effectively
As an extension to the automatic codes (A[][]XA) (designed for various disciplines to bill re/assessments quickly), we have designed a new automatic code A[][]VA, which resolves to service code K083 (Specialist consultation or visit by telephone or video) at the value of the equivalent in-person the assessment codes, rounded to the nearest $5.00.
Noted: A[][]VA follows the same rules in our system as A[][]XA
For example, under Medical Oncology (44), the automatic code for a virtual assessment service is A44VA. The algorithm for A44VA will bill K083A with quantities as follows:
|
Service |
In-person service Code |
Fee |
K083 Units |
K083 Fee |
|
Medical specific assessment |
A443 |
$79.85 |
16 |
$80.00 |
|
Complex medical specific re-assessment |
A441 |
$70.90 |
14 |
$70.00 |
|
Medical specific re-assessment |
A444 |
$61.25 |
12 |
$60.00 |
|
Partial assessment |
A448 |
$38.05 |
8 |
$40.00 |
Please note: A13VA is only available for physicians who are practicing solely as a general internist as it includes the value of the equivalent 12% Internal Medicine Office Assessment Premium
|
Service |
In-person service Code |
Fee with 12% premium |
K083 Units |
K083 Fee |
|
Medical specific assessment |
A133 ($79.85) |
$89.43 |
18 |
$90.00 |
|
Complex medical specific re-assessment |
A131 ($70.90) |
$79.41 |
16 |
$80.00 |
|
Medical specific re-assessment |
A134 ($61.25) |
$68.60 |
14 |
$70.00 |
|
Partial assessment |
A138 ($38.05) |
$42.62 |
9 |
$45.00 |
The automatic code A[][]VA is available for the following disciplines:
- Cardiology (60)
- Clinical Immunology (62)
- Community Medicine (05)
- Endocrinology & Metabolism (15)
- Gastroenterology (41)
- Geriatrics (07)
- Haematology (61)
- Infectious Disease (46)
- Internal And Occupational Medicine (13)
- Medical Oncology (44)
- Nephrology (16)
- Neurology (18)
- Physical Medicine & Rehabilitation (31)
- Radiation Oncology (34)
- Respiratory Disease (47)
- Rheumatology (48)
- General Surgery (03)*
- Neurosurgery (04)*
- OBGYN (20)*
- Orthopaedic Surgery (06)*
- Plastic Surgery (08)*
*Please refer to the rules of the automatic code A[][]XA for these disciplines as they are different from the other disciplines.