COVID-19 coding: AMA provides guidance on 11 scenarios

March 27, 2020
Medical Economics Staff

Click the attached PDF, courtesy of the American Medical Association, to view 11 coding scenarios related to treating COVID-19 patients.

The American Medical Association has published a COVID-19 coding scenario guide, that includes a number of coding scenarios for physicians treating COVID-19 patients.

The COVID-19 scenarios presented include:

  • Patient comes to office for E/M visit, is tested for COVID-19 during the visit.

  • Patient comes to office for E/M visit re: COVID-19 and is directed to a testing site.

  • Patient received telehealth visit re: COVID-19, and is directed to come to physician office or physician’s group practice site for testing.

  • Patient received telehealth visit re: COVID-19, and is directed to unaffiliated testing site.

  • Patient receives virtual check-in/online visit re: COVID-19 (not related to E/M visit), and is directed to come to physician office for testing.

  • Patient receives virtual check-in/online visit re: COVID-19 (not related to E/M visit) and is directed to unaffiliated testing site.

  • Telehealth visit for a COVID-19 diagnosed patient.

  • Patient with COVID-19 receives virtual check-in OR on-line visits via patient portal/e-mail (not related to E/M visit) OR telephone call from qualified nonphysician (those who may not report E/M).

  • Physician orders remote physiologic monitoring following patient quarantined at home after receiving COVID-19 diagnosis.

The non-COVID-19 scenarios include:

  • Telehealth visit for a non-COVID-19 patient.

  • Patient receives virtual check-in OR on-line visits via patient portal/e-mail (not related to E/M visit) OR telephone call from qualified nonphysician (those who may not report E/M).

To view the detailed scenarios, view the document on the AMA website.