The approximate reimbursement for CPT code 99421 is $15. This code identifies an online digital evaluation and management service provided to an established patient. The service encompasses a cumulative time of 5-10 minutes over a period of up to 7 days.
Understanding Digital Evaluation and Management Codes
Digital evaluation and management (E/M) codes, such as 99421, 99422, and 99423, are used to bill for asynchronous online communication between a healthcare provider and an established patient. These services allow patients to receive medical advice, management, and education without requiring a real-time, face-to-face visit. They are valuable tools for managing ongoing conditions, answering patient questions, and providing follow-up care efficiently.
The reimbursement amount for these codes typically varies based on the cumulative time spent by the physician or other qualified healthcare professional on the digital service over the specified 7-day period.
Here is a breakdown of the approximate reimbursements for these digital E/M service codes:
| CPT Code | Service Description (Cumulative Time) | Approx. Reimbursement |
|---|---|---|
| 99421 | Online digital evaluation and management service, for an established patient, for up to 7 days; 5-10 minutes | $15 |
| 99422 | Online digital evaluation and management service, for an established patient, for up to 7 days; 11-20 minutes | $31 |
| 99423 | Online digital evaluation and management service, for an established patient, for up to 7 days; 21 or more minutes | $50 |
These codes play an increasingly important role in modern healthcare delivery, supporting remote patient care and enhancing accessibility for established patients who can benefit from asynchronous digital communication with their providers.
