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CPT 98014: Established Patient E/M via Audio-Only, Moderate Complexity
CPT code 98014 designates an evaluation-and-management visit for an established patient delivered via synchronous audio-only telehealth. It applies when the encounter involves more than 10 minutes of medical discussion, includes moderate medical decision making, and/or the clinician documents at least 30 minutes of total time on the date of service. The code captures a specific telehealth modality that has grown in relevance as payers and regulators adapt policies for remote care.
Key national payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of coverage approaches, common billing modifiers, and operational considerations tied to audio-only E/M services. The publication summarizes benchmark elements such as typical use cases, documentation expectations, and how moderate-complexity audio-only visits are distinguished from shorter or lower-complexity remote interactions.
The piece outlines the clinical contexts where audio-only E/M is used—notably when video is unavailable—and highlights the administrative elements that affect coding and reimbursement. Data not available in the input is noted where applicable. This summary aims to inform clinicians, billing professionals, and policy analysts about the role and coding parameters of CPT code 98014 in national telehealth practice.
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Billing Code Overview
CPT code 98014 describes an evaluation and management (E/M) visit for an established patient conducted using synchronous audio-only technology. The service requires more than 10 minutes of medical discussion, involves moderate medical decision making, and/or the provider documents 30 or more minutes of total time spent on the encounter on a single date.
Service Type: Established patient E/M via synchronous audio-only telehealth
Typical Site of Service: Remote/telehealth setting (audio-only encounter)