2025 HCPCS code G2012
Effective Date: N/A Other Evaluation and Management Services Feed
Brief communication technology-based service by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, 5-10 minutes of medical discussion.
Medical necessity for G2012 hinges on the communication being brief and focused, addressing a specific patient concern that does not require a full evaluation and management service. The communication should not be part of ongoing management for a chronic condition or a substitute for a face-to-face visit when one is clinically indicated.
The provider conducts a 5 to 10-minute technology-based communication with an established patient. This service should not be related to a prior E/M service within the past 7 days, nor lead to a related E/M service or procedure within the next 24 hours or next available appointment. The provider must be qualified to report E/M services.
In simple words: This code covers a short virtual check-in (5-10 minutes) with your doctor or other healthcare professional using technology like video chat or phone call. It's only for established patients and can't be used if you've had a related visit recently, or if this virtual check-in leads to a visit within the next 24 hours.
This code represents a 5-10 minute virtual check-in with an established patient by a physician or other qualified healthcare professional using communication technology. It is not to be used for services related to an E/M service within the previous 7 days, or if a related E/M service or procedure occurs within 24 hours or at the next available appointment.
Example 1: An established patient with well-controlled hypertension has a quick question about a potential side effect of their medication. They contact their physician via a telehealth platform, and the physician addresses their concern in a 7-minute interaction. No further appointment is scheduled., An established patient with a history of eczema experiences a mild flare-up. They send a picture of the affected area to their dermatologist via a patient portal. The dermatologist reviews the image and discusses treatment options with the patient over a 6-minute phone call, recommending over-the-counter hydrocortisone cream. No further appointment is needed at this time., An established patient recovering from a minor surgical procedure contacts their surgeon via telehealth to inquire about some unusual bruising. The surgeon reassures the patient during an 8-minute video call that the bruising is normal and provides instructions on wound care. No follow-up appointment is scheduled.
Documentation should clearly indicate the date, time, and total duration of the communication. The reason for the communication and the clinical discussion should be documented. It should also explicitly state that the service is not related to a recent E/M service and that no further E/M service or procedure is planned within 24 hours or next available appointment.
- Specialties:Many specialties can utilize G2012 including, Primary Care, Dermatology, and other specialties capable of performing E/M services.
- Place of Service:Telehealth Provided Other than in Patient’s Home, Telehealth Provided in Patient’s Home, Office