Name of the Procedure:

Telehealth Consultation, Emergency Department or Initial Inpatient
Common Name(s): Virtual Consultation, Online Doctor Visit
Technical/Medical Term: Telehealth Consultation (HCPCS Code G0425)

Summary

A Telehealth Consultation (G0425) involves a healthcare provider communicating with a patient via video call to evaluate and provide medical advice typically in an emergency or initial inpatient setting. This remote consultation usually lasts about 30 minutes.

Purpose

This procedure is designed to provide timely medical evaluation and advice to patients who cannot be physically present. It aims to assess and manage acute or initial inpatient medical issues, reduce the need for immediate in-person visits, and facilitate early medical intervention.

Indications

This procedure is appropriate for patients:

• Presenting with acute symptoms requiring immediate medical consultation.
• Unable to visit the emergency department or hospital in person due to distance, mobility issues, or other constraints.
• Needing an initial evaluation before possible inpatient admission.

Preparation

• Ensure a stable internet connection and a working camera/microphone.
• Have a list of all current medications, medical history, and symptoms ready to discuss.
• Complete any pre-consultation diagnostic tests as advised by your healthcare provider.

Procedure Description

1. The patient schedules the telehealth consultation through the hospital or clinic.
2. At the appointed time, the patient logs into a secure telehealth platform.
3. The doctor joins the call and verifies the patient's identity and consent.
4. The doctor conducts a thorough medical evaluation by asking detailed questions about symptoms, medical history, and any previous treatments.
5. Based on the consultation, the doctor provides medical advice, may prescribe medications, recommend further tests, or advise in-person follow-up if necessary.

Tools and Equipment: Secure telehealth platform, computer or smartphone with camera and microphone.

Anesthesia or Sedation: Not applicable.

Duration

The consultation typically lasts about 30 minutes.

Setting

This procedure is performed virtually, with the patient located at home or another suitable location, and the healthcare provider located in a hospital or clinic.

Personnel

• Primary Healthcare Provider (e.g., doctor, nurse practitioner)
• Telehealth Coordinator (if needed for technical support)

Risks and Complications

• Possible technical difficulties (e.g., poor internet connection).
• Limited ability to conduct a physical examination, possibly delaying a more accurate diagnosis.

Benefits

• Immediate medical evaluation without the need to visit an ER or hospital.
• Early identification and management of medical issues.
• Convenience and comfort of consulting from home.

Recovery

• Follow any medical advice provided during the consultation.
• Schedule any follow-up appointments or tests as recommended.
• Contact the healthcare provider if the symptoms worsen or do not improve.

Alternatives

• In-person consultation at a hospital or clinic.
• Telephone consultation (without video).
• Urgent care visit.

Pros and Cons:

• Pros: Convenient, faster access to medical advice, no travel required.
• Cons: Limited physical exam, reliance on patient’s self-reported symptoms, potential technical issues.

Patient Experience

During the procedure, the patient should feel comfortable and experience minimal stress. Any pain associated with their symptoms will be discussed and managed through medical advice and potential prescriptions. Comfort measures like a quiet, private space can enhance the experience.