Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes
CPT4 code
Name of the Procedure:
Online Digital Evaluation and Management Service, Established Patient, Up to 7 Days, Cumulative Time 21 or More Minutes
Summary
An online digital evaluation and management service involves a patient consulting with their healthcare provider via digital communication methods over a period of up to 7 days. The total cumulative interaction time with the provider is 21 minutes or more.
Purpose
This service addresses ongoing health concerns, medication management, symptom updates, and follow-up care that do not require in-person visits. The goal is to provide continuous care, convenience, and timely medical advice, enhancing patient health outcomes through accessible communication.
Indications
- Chronic disease management (e.g., diabetes, hypertension)
- Follow-up on recent illnesses or treatments
- Medication adjustments
- Minor health concerns or new symptoms
- Post-operative check-ins
Preparation
- Ensure access to a reliable digital device and internet connection.
- Prepare any recent medical information or questions for the provider.
- Complete any online health assessment questionnaires if provided.
Procedure Description
- Patient sends a health inquiry or update via a secure digital platform.
- Provider reviews the message and patient’s health records.
- Provider responds with advice, treatment adjustments, or requests additional information.
- Continuous interaction as needed over 7 days, up to 21+ minutes total. Tools: Secure messaging platform, email, telehealth portal. Anesthesia: Not applicable.
Duration
Cumulative interaction time of 21 or more minutes over 7 days.
Setting
Performed remotely via secure digital communication platforms (e.g., patient portals, telehealth apps).
Personnel
Primarily involves the patient and their primary healthcare provider (e.g., physician, nurse practitioner).
Risks and Complications
- Miscommunication or misunderstanding without face-to-face interaction.
- Potential delay in addressing severe symptoms that require in-person evaluation.
Benefits
- Convenient access to medical advice without the need for travel.
- Timely management of health issues, potentially preventing worsening conditions.
- Continuous monitoring and adjustments of chronic conditions.
Recovery
No recovery necessary since the service is non-invasive. Patients should follow any medical advice or treatment plans discussed.
Alternatives
- In-person office visits
- Phone consultations
- Use of urgent care or emergency services for immediate concerns Pros and Cons:
- In-person visits offer physical examinations but may require more time and travel.
- Online services provide convenience but might miss subtle physical signs.
Patient Experience
Patients will communicate digitally with their provider, receiving timely advice and information. It is important to provide clear, detailed information and follow up appropriately as advised. Comfort measures include ease of access to medical advice and the ability to address health concerns from home.