For several years the AAP Section on Infectious Diseases has been working with the AAP Committee on Coding and Nomenclature to promote the publishing of values for the Interprofessional Telephone/Internet Consultation CPT codes (99446-99449) for specialties that frequently provide telephone advice without formal consultation from other physicians. Infectious Diseases is among the specialties most frequently providing such advice.  We are happy to announce to the PIDS membership that CPT codes for this activity approved in 2014 now have wRVUs assigned for the four codes below which vary only in the amount of time spent in consultation.

  • 99446 Interprofessional telephone/Internet assessment and management service provided by a consultative physician including a verbal and written report to the patient’s treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review
  • 99447 Same as above; 11-20 minutes of medical consultative discussion and review
  • 99448 Same as above; 21-30 minutes of medical consultative discussion and review
  • 99449 Same as above; 31 minutes or more of medical consultative discussion and review

For 2019, two additional codes will be available, 994X0 and 994X6 [Note: These codes will be assigned permanent code numbers with the release of CPT 2019], the former being a code for the treating/requesting physician and the latter for the consultant. Code 994X6 can be used for Interprofessional telephone/internet/electronic health record assessment and management provided by a consultative physician including a written report to the patient’s treating/requesting physician requiring 5 or more minutes of medical consultative time. This code has been assigned 0.50 wRVUs by CMS although 0.70 was requested by the AMA/Specialty Society Relative Value Scale Update Committee (RUC). The final values will  be published in November 2018. 

Please see the attached report for all codes and assigned wRVUs and discuss with your billing and coding departments on how to implement these codes and receive RVUs for these activities.