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Automatic Code A[][]VA - K083 for Follow-Up/Assessments

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How to bill K083 for virtual 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 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.

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