Name of Manual - Blue Cross and Blue Shield of Minnesota

Coding Policies and Guidelines (Medical Services)
E-Care Visits
(continued)
11-22
Billing/Coding Information
CODING: 99444 or 98969
99444 – Online evaluation and management service
provided by a physician to an established patient, guardian,
or health care provider not originating from a related E/M
service provided within the previous 7 days, using the
internet or similar electronic communications network
98969 – Online assessment and management service
provided by a qualified non-physician health care
professional to an established patient, guardian, or health
care provider not originating from a related assessment and
management service provided within the previous 7 days,
using the internet or similar electronic communications
network
COPAY: Code 99444 or 98969 is subject to the member’s
office call copay.
CLAIM FORMAT: Billed on the professional claim format-
837P.
UNITS: One (1). Reimbursement for online medical
evaluations is limited to one per day.
PROVIDER NUMBER: An individual provider number or
NPI is required. Code 99444 is limited to MDs. Code 98969 is
limited to PA, NP, and CNS-Medical practitioners.
EDITS: An E-Care visit, 99444 or 98969, will not be allowed
on the same day as another E/M visit. Code 99444 or 98969
will deny as mutually exclusive to these other services. An E-
Care visit will not be allowed as a routine follow-up to surgical
care.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (06/20/12)