{"id":14028,"date":"2021-07-30T14:48:24","date_gmt":"2021-07-30T14:48:24","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=14028"},"modified":"2026-05-11T14:12:25","modified_gmt":"2026-05-11T14:12:25","slug":"coding-guidelines-for-interprofessional-internet-consultations","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/","title":{"rendered":"Coding Guidelines for Interprofessional Internet Consultations"},"content":{"rendered":"<h2 style=\"text-align: left;\"><strong>Interprofessional Internet\/Telephone\/EHR Consultations<\/strong><\/h2>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\">Interprofessional Telephone\/Internet\/EHR Consultations (99446-99449, 99451, 99452) are assessment and management services in which a patient\u2019s treating (e.g., attending or primary) physician or other QHP requests the opinion and\/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other QHP in the diagnosis and\/or management of the patient\u2019s problem without patient face-to-face contact with the consultant. Coding Guidelines and edits can change several times a year.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\">The patient for whom the interprofessional telephone\/Internet\/electronic health record consultation is requested may be either a new patient to the consultant or an established patient with a new problem or an exacerbation of an existing problem. However, the consultant should not have seen the patient in a face-to-face encounter within the last 14 days. <\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\">When the telephone\/Internet\/electronic health record consultation leads to a transfer of care or other face-to-face services (e.g., a surgery, a hospital visit, or a scheduled office evaluation of the patient) within the next 14 days or the next available appointment date of the consultant, these codes are not reported.<\/span><\/p>\n<h2 style=\"text-align: left;\"><strong>Qualifying Criteria for Interprofessional Internet Consultations<\/strong><\/h2>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\">Since January 1, 2019, <a href=\"https:\/\/www.medicalbillersandcoders.com\/physician-group.aspx\">physicians<\/a> and other Qualified Healthcare Providers (QHCPs) who can independently bill for E\/M services can obtain stand-alone reimbursement according to the following criteria:<\/span><\/p>\n<ul style=\"text-align: left;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Billing Practitioner:<\/strong> Billing for interprofessional services is limited to those practitioners that can independently bill Medicare for E\/M services. CPT Code 99452 applies to the treating\/referring physician or QHCP, and the rest of the codes apply to the consultative physician or QHCP.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Consent:<\/strong> Verbal patient consent must be documented in the patient\u2019s medical record for each consultation. The patient\u2019s consent must include assurance that the patient is aware of applicable cost-sharing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Cost Sharing:<\/strong> Providers must collect the requisite co-payment from the patient for each service billed, as with all Medicare Part B services.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>The benefit of the Patient:<\/strong> The consultation must be undertaken for the benefit of the patient. Because the patient is going to be responsible for cost-sharing, CMS wants to distinguish these Interprofessional Internet Consultations from those undertaken for the edification of the practitioner, such as information shared as a professional courtesy or as continuing education.<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: left;\"><strong>Coding Guidelines for Interprofessional Consultations (99446-99449, 99451,99452)<\/strong><\/h3>\n<ul style=\"text-align: left;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Review of pertinent medical records, laboratory studies, imaging studies, medication profile, pathology specimens, etc. is included in the telephone\/Internet\/electronic health record consultation service and should not be reported separately when reporting 99446, 99447, 99448, 99449, 99451.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The majority of the service time reported (greater than 50%) must be devoted to the medical consultative verbal or Internet discussion. If greater than 50% of the time for the service is devoted to data review and\/or analysis, 99446, 99447, 99448, 99449 should not be reported. However, the service time for 99451 is based on total review and interprofessional communication time.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If more than one telephone\/Internet\/electronic health record contract(s) is required to complete the consultation request (e.g., discussion of test results), the entirety of the service and the cumulative discussion and information review time should be reported with a single code.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Codes 99446, 99447, 99448, 99449, 99451 should not be reported more than once within a seven-day interval.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The written or verbal request for telephone\/Internet\/electronic health record advice by the treating\/requesting physician or other QHP should be documented in the patient\u2019s medical record, including the reason for the request.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Codes 99446, 99447, 99448, 99449 conclude with a verbal opinion report and written report from the consultant to the treating\/requesting physician or other QHP. Code 99451 concludes with only a written report.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Telephone\/Internet\/electronic health record consultations of less than five minutes should not be reported.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Consultant communications with the patient and\/or family may be reported using 98966, 98967, 98968, 99421, 99422, 99423, 99441, 99442, 99443, and the time related to these services is not used in reporting 99446-99449.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not report 99358, 99359 for any time within the service period, if reporting 99446, 99447, 99448, 99449, 99451. When the sole purpose of the telephone\/Internet\/electronic health record communication is to arrange a transfer of care or other face-to-face services, these codes are not reported.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The treating\/requesting physician or other QHP may report 99452 if spending 16-30 minutes in a service day preparing for the referral and\/or communicating with the consultant. Do not report 99452 more than once in a 14-day period.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The treating\/requesting physician or other QHP may report the prolonged service codes 99354-99357 for the time spent on the interprofessional telephone\/Internet\/electronic health record discussion with the consultant (e.g., specialist) if the time exceeds 30 minutes beyond the typical time of the appropriate E\/M service performed and the patient is present (on-site) and accessible to the treating\/requesting physician or other QHP.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If the interprofessional telephone\/Internet\/electronic health record assessment and management service occur when the patient is not present and the time spent in a day exceeds 30 minutes, then the non-face-to-face prolonged service codes 99358, 99359 may be reported by the treating\/requesting physician or other QHP.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\">Using appropriate CPT codes ensures accurate payment for rendered services. It could be difficult for a practice owner to stay on top of all coding updates as his major focus is on patient care.<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.medicalbillersandcoders.com\/\"><strong> Medical Billers and Coders<\/strong><\/a> can help you with inaccurate billing and coding activities. For more information on our billing and coding services, please<a href=\"https:\/\/www.medicalbillersandcoders.com\/ContactUs.aspx\"> get in touch with us<\/a>!<\/span><\/p>\n<h2 style=\"text-align: left;\">FAQs:<\/h2>\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1746010064923\"><strong class=\"schema-faq-question\">1: What are interprofessional telephone\/internet\/EHR consultations?<\/strong> <p class=\"schema-faq-answer\">These consultations (CPT codes 99446-99449, 99451, 99452) involve a treating physician seeking specialty advice from a consultant without face-to-face contact with the patient.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1746010080331\"><strong class=\"schema-faq-question\">2: Who can bill for these consultations?<\/strong> <p class=\"schema-faq-answer\">Only physicians and Qualified Healthcare Providers (QHPs) who can independently bill for Evaluation and Management (E\/M) services are eligible to bill for interprofessional consultations.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1746010089884\"><strong class=\"schema-faq-question\">3: What documentation is required for billing these consultations?<\/strong> <p class=\"schema-faq-answer\">You must document the request for consultation, the patient&#8217;s consent, and ensure that the service is for the patient\u2019s benefit, along with any relevant medical information reviewed.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1746010101435\"><strong class=\"schema-faq-question\">4: Can multiple consultations be reported within a short period?<\/strong> <p class=\"schema-faq-answer\">No, codes 99446-99449 should not be reported more than once within a seven-day interval, and proper documentation of the consultation request is essential.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1746010111832\"><strong class=\"schema-faq-question\">5: What should I do if I encounter billing issues?<\/strong> <p class=\"schema-faq-answer\">If you face challenges with billing and coding for these services, consider partnering with experienced medical billers who can help ensure accurate submissions and compliance with guidelines.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Interprofessional Internet\/Telephone\/EHR Consultations Interprofessional Telephone\/Internet\/EHR Consultations (99446-99449, 99451, 99452) are assessment and management services in which a patient\u2019s treating (e.g., attending or primary) physician or other QHP requests the opinion and\/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other QHP in the diagnosis and\/or management [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":14030,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-14028","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-coding"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Coding Guidelines for Interprofessional Internet Consultations<\/title>\n<meta name=\"description\" content=\"An interprofessional internet consultation is defined as an assessment and management service in which a patient\u2019s treating physician.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coding Guidelines for Interprofessional Internet Consultations\" \/>\n<meta property=\"og:description\" content=\"An interprofessional internet consultation is defined as an assessment and management service in which a patient\u2019s treating physician.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Billing and RCM Blogs\" \/>\n<meta property=\"article:published_time\" content=\"2021-07-30T14:48:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-11T14:12:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"748\" \/>\n\t<meta property=\"og:image:height\" content=\"288\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Alex Peter\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Alex Peter\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/\"},\"author\":{\"name\":\"Alex Peter\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#\\\/schema\\\/person\\\/797b3e03da28649c3a2975caca332e13\"},\"headline\":\"Coding Guidelines for Interprofessional Internet Consultations\",\"datePublished\":\"2021-07-30T14:48:24+00:00\",\"dateModified\":\"2026-05-11T14:12:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/\"},\"wordCount\":1045,\"publisher\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg\",\"articleSection\":[\"Medical Coding\"],\"inLanguage\":\"en-US\",\"copyrightYear\":\"2021\",\"copyrightHolder\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\"}},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/\",\"name\":\"Coding Guidelines for Interprofessional Internet Consultations\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg\",\"datePublished\":\"2021-07-30T14:48:24+00:00\",\"dateModified\":\"2026-05-11T14:12:25+00:00\",\"description\":\"An interprofessional internet consultation is defined as an assessment and management service in which a patient\u2019s treating physician.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#breadcrumb\"},\"mainEntity\":[{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010064923\"},{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010080331\"},{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010089884\"},{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010101435\"},{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010111832\"}],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg\",\"contentUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg\",\"width\":748,\"height\":288,\"caption\":\"Coding Guidelines for Interprofessional Internet Consultations\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Coding Guidelines for Interprofessional Internet Consultations\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/\",\"name\":\"Medical Billing and RCM Blogs\",\"description\":\"Medical Billing and Coding Services in USA\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\"},\"alternateName\":\"MBC\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Organization\",\"Place\",\"ProfessionalService\"],\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\",\"name\":\"Medical Billers and Coders\",\"alternateName\":\"MBC\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/04\\\/MBC-Square-Logo.png\",\"contentUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/04\\\/MBC-Square-Logo.png\",\"width\":512,\"height\":512,\"caption\":\"Medical Billers and Coders\"},\"image\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"telephone\":[\"888-357-3226\"],\"contactPoint\":{\"@type\":\"ContactPoint\",\"telephone\":\"888-357-3226\",\"email\":\"info@medicalbillersandcoders.com\"},\"email\":\"sales@medicalbillersandcoders.com\",\"faxNumber\":\"888-316-4566\",\"currenciesAccepted\":\"$\",\"openingHoursSpecification\":[{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":[\"Monday\",\"Tuesday\",\"Wednesday\",\"Thursday\",\"Friday\"],\"opens\":\"08:00\",\"closes\":\"17:00\"},{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":[\"Saturday\",\"Sunday\"],\"opens\":\"00:00\",\"closes\":\"00:00\"}]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#\\\/schema\\\/person\\\/797b3e03da28649c3a2975caca332e13\",\"name\":\"Alex Peter\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/3481f1b91949713010074361429d9b475d09f217849a36e5e5ac1fe46ed4e109?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/3481f1b91949713010074361429d9b475d09f217849a36e5e5ac1fe46ed4e109?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/3481f1b91949713010074361429d9b475d09f217849a36e5e5ac1fe46ed4e109?s=96&d=mm&r=g\",\"caption\":\"Alex Peter\"},\"description\":\"A Medical Coding Subject Matter Expert with over 16 years of experience in ICD-10 and CPT coding, clinical documentation, and revenue cycle management. Shares actionable insights to improve billing accuracy and support compliance-driven healthcare practices.\",\"sameAs\":[\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/in\\\/alex-peter-ap\\\/\"],\"jobTitle\":\"Medical Coder\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010064923\",\"position\":1,\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010064923\",\"name\":\"1: What are interprofessional telephone\\\/internet\\\/EHR consultations?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"These consultations (CPT codes 99446-99449, 99451, 99452) involve a treating physician seeking specialty advice from a consultant without face-to-face contact with the patient.\",\"inLanguage\":\"en-US\"},\"inLanguage\":\"en-US\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010080331\",\"position\":2,\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010080331\",\"name\":\"2: Who can bill for these consultations?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Only physicians and Qualified Healthcare Providers (QHPs) who can independently bill for Evaluation and Management (E\\\/M) services are eligible to bill for interprofessional consultations.\",\"inLanguage\":\"en-US\"},\"inLanguage\":\"en-US\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010089884\",\"position\":3,\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010089884\",\"name\":\"3: What documentation is required for billing these consultations?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"You must document the request for consultation, the patient's consent, and ensure that the service is for the patient\u2019s benefit, along with any relevant medical information reviewed.\",\"inLanguage\":\"en-US\"},\"inLanguage\":\"en-US\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010101435\",\"position\":4,\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010101435\",\"name\":\"4: Can multiple consultations be reported within a short period?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No, codes 99446-99449 should not be reported more than once within a seven-day interval, and proper documentation of the consultation request is essential.\",\"inLanguage\":\"en-US\"},\"inLanguage\":\"en-US\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010111832\",\"position\":5,\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/coding-guidelines-for-interprofessional-internet-consultations\\\/#faq-question-1746010111832\",\"name\":\"5: What should I do if I encounter billing issues?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"If you face challenges with billing and coding for these services, consider partnering with experienced medical billers who can help ensure accurate submissions and compliance with guidelines.\",\"inLanguage\":\"en-US\"},\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Coding Guidelines for Interprofessional Internet Consultations","description":"An interprofessional internet consultation is defined as an assessment and management service in which a patient\u2019s treating physician.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/","og_locale":"en_US","og_type":"article","og_title":"Coding Guidelines for Interprofessional Internet Consultations","og_description":"An interprofessional internet consultation is defined as an assessment and management service in which a patient\u2019s treating physician.","og_url":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/","og_site_name":"Medical Billing and RCM Blogs","article_published_time":"2021-07-30T14:48:24+00:00","article_modified_time":"2026-05-11T14:12:25+00:00","og_image":[{"width":748,"height":288,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg","type":"image\/jpeg"}],"author":"Alex Peter","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Alex Peter","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["Article","BlogPosting"],"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#article","isPartOf":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/"},"author":{"name":"Alex Peter","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#\/schema\/person\/797b3e03da28649c3a2975caca332e13"},"headline":"Coding Guidelines for Interprofessional Internet Consultations","datePublished":"2021-07-30T14:48:24+00:00","dateModified":"2026-05-11T14:12:25+00:00","mainEntityOfPage":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/"},"wordCount":1045,"publisher":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#organization"},"image":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#primaryimage"},"thumbnailUrl":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg","articleSection":["Medical Coding"],"inLanguage":"en-US","copyrightYear":"2021","copyrightHolder":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#organization"}},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/","name":"Coding Guidelines for Interprofessional Internet Consultations","isPartOf":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#primaryimage"},"image":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#primaryimage"},"thumbnailUrl":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg","datePublished":"2021-07-30T14:48:24+00:00","dateModified":"2026-05-11T14:12:25+00:00","description":"An interprofessional internet consultation is defined as an assessment and management service in which a patient\u2019s treating physician.","breadcrumb":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#breadcrumb"},"mainEntity":[{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010064923"},{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010080331"},{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010089884"},{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010101435"},{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010111832"}],"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#primaryimage","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg","contentUrl":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/Blog-Coding-Guidelines-for-Interprofessional-Internet-Consultations.jpg","width":748,"height":288,"caption":"Coding Guidelines for Interprofessional Internet Consultations"},{"@type":"BreadcrumbList","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.medicalbillersandcoders.com\/blog\/"},{"@type":"ListItem","position":2,"name":"Coding Guidelines for Interprofessional Internet Consultations"}]},{"@type":"WebSite","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#website","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/","name":"Medical Billing and RCM Blogs","description":"Medical Billing and Coding Services in USA","publisher":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#organization"},"alternateName":"MBC","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.medicalbillersandcoders.com\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Organization","Place","ProfessionalService"],"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#organization","name":"Medical Billers and Coders","alternateName":"MBC","url":"https:\/\/www.medicalbillersandcoders.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2025\/04\/MBC-Square-Logo.png","contentUrl":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2025\/04\/MBC-Square-Logo.png","width":512,"height":512,"caption":"Medical Billers and Coders"},"image":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#\/schema\/logo\/image\/"},"telephone":["888-357-3226"],"contactPoint":{"@type":"ContactPoint","telephone":"888-357-3226","email":"info@medicalbillersandcoders.com"},"email":"sales@medicalbillersandcoders.com","faxNumber":"888-316-4566","currenciesAccepted":"$","openingHoursSpecification":[{"@type":"OpeningHoursSpecification","dayOfWeek":["Monday","Tuesday","Wednesday","Thursday","Friday"],"opens":"08:00","closes":"17:00"},{"@type":"OpeningHoursSpecification","dayOfWeek":["Saturday","Sunday"],"opens":"00:00","closes":"00:00"}]},{"@type":"Person","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#\/schema\/person\/797b3e03da28649c3a2975caca332e13","name":"Alex Peter","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/3481f1b91949713010074361429d9b475d09f217849a36e5e5ac1fe46ed4e109?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/3481f1b91949713010074361429d9b475d09f217849a36e5e5ac1fe46ed4e109?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/3481f1b91949713010074361429d9b475d09f217849a36e5e5ac1fe46ed4e109?s=96&d=mm&r=g","caption":"Alex Peter"},"description":"A Medical Coding Subject Matter Expert with over 16 years of experience in ICD-10 and CPT coding, clinical documentation, and revenue cycle management. Shares actionable insights to improve billing accuracy and support compliance-driven healthcare practices.","sameAs":["https:\/\/www.medicalbillersandcoders.com\/","https:\/\/www.linkedin.com\/in\/alex-peter-ap\/"],"jobTitle":"Medical Coder"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010064923","position":1,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010064923","name":"1: What are interprofessional telephone\/internet\/EHR consultations?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"These consultations (CPT codes 99446-99449, 99451, 99452) involve a treating physician seeking specialty advice from a consultant without face-to-face contact with the patient.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010080331","position":2,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010080331","name":"2: Who can bill for these consultations?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Only physicians and Qualified Healthcare Providers (QHPs) who can independently bill for Evaluation and Management (E\/M) services are eligible to bill for interprofessional consultations.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010089884","position":3,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010089884","name":"3: What documentation is required for billing these consultations?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"You must document the request for consultation, the patient's consent, and ensure that the service is for the patient\u2019s benefit, along with any relevant medical information reviewed.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010101435","position":4,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010101435","name":"4: Can multiple consultations be reported within a short period?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No, codes 99446-99449 should not be reported more than once within a seven-day interval, and proper documentation of the consultation request is essential.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010111832","position":5,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/coding-guidelines-for-interprofessional-internet-consultations\/#faq-question-1746010111832","name":"5: What should I do if I encounter billing issues?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"If you face challenges with billing and coding for these services, consider partnering with experienced medical billers who can help ensure accurate submissions and compliance with guidelines.","inLanguage":"en-US"},"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/14028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/comments?post=14028"}],"version-history":[{"count":5,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/14028\/revisions"}],"predecessor-version":[{"id":22534,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/posts\/14028\/revisions\/22534"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media\/14030"}],"wp:attachment":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media?parent=14028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/categories?post=14028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/tags?post=14028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}