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DeeAnna Merz Nagel
Oct 29, 2009

Is phone counseling and online counseling covered by insurance?

I have been receiving many inquiries asking if online counseling is covered by insurance so I thought I would share what I know with everyone.

Early in 2004, the American Medical Association published a new CPT code 0074T that allowed physicians in the USA reimbursement for online consults. The new code was released January 1st, 2004.

Code 0074T: Online evaluation & management service, per encounter, provided by a physician, using the Internet or similar electronic communications network, in response to a patient’s request, established patient.

In 2008, the CPT code 0074T was replaced. The code relating to online counseling was previously in the CPT manual under category III (emerging technologies). As of 2008, it has been replaced by the new code numbers and is now under category I.

CPT Code 98969 is used to describe online services provided by non physician. CPT code 98966 is used to bill for phone consultation services.

DeeAnna Merz-Nagel is a clinical counselor, teacher, workshop presenter, sat on the ACA Cyber Technology Taskforce, and is co-founder of the Online Therapy Institute

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