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CPT 99452: Interprofessional Electronic Consultation, 30 Minutes
CPT code 99452 captures a provider’s non-face-to-face, interprofessional communication when a treating or requesting physician or other qualified healthcare professional spends 30 minutes providing patient-related healthcare information to a consultant via electronic media. This service code matters nationally as health systems increasingly rely on electronic consultations and remote coordination to improve access, reduce unnecessary visits, and document clinician-to-clinician advice.
Key payers covered in this publication include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how 99452 is defined, the clinical contexts where interprofessional electronic consults are used, and the policy and billing considerations that influence adoption across payers. The report summarizes typical sites of service and service type, explains what time-based documentation elements are required, and highlights common modifier usage patterns when data are available.
The publication also provides benchmarks and implementation guidance for coding and documentation workflows, plus summaries of recent policy updates affecting interprofessional electronic communications. Data not available in the input are noted explicitly where applicable.
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Billing Code Overview
CPT code 99452 describes a treating or requesting physician or other qualified healthcare professional spending 30 minutes providing healthcare information about a patient to a consultant via electronic media. This represents a consultant-directed interprofessional communication service delivered remotely.
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Service type: Interprofessional consultative communication (telephone, secure text, electronic health record message, or other electronic media) lasting 30 minutes of the provider's time.
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Typical site of service: Remote or non-face-to-face clinician setting; services are provided outside of direct patient encounters and can be delivered from an office, clinic, or other location where the consulting provider documents and transmits information electronically.
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