What this is, in plain language
A video visit with a clinician you have seen before, about 15 minutes of total provider time or straightforward decision-making.
Why a clinician orders it
Quick follow-ups, medication checks, or a single simple problem that does not need a hands-on exam.
Medical necessity — what insurers usually look at
Plan dependent. This is the telehealth equivalent of the most common office follow-up visit and is the most likely telehealth code to be covered like an office visit.
New to this? Read what medical necessity means and how to appeal a denial.
Documentation to ask about
- ✓Live audio AND video confirmed
- ✓Your location at the time of the visit
- ✓Reason for the visit and total time or decision-making elements
Questions for your provider
- ?Does my plan cover video follow-ups with you?
- ?Is my copay the same as in person?
Why this code is in our seed set
Part of the new CPT 98000–98015 telehealth E/M family introduced for 2025; expected to be among the highest-volume telehealth codes as payers adopt the set.
Validated against
- •AMA CPT 2025 E/M telehealth code set (98000–98015)
- •CMS telehealth services list
Terms you'll see
Medical NecessityRead more →
The insurer is reviewing whether the service is clinically appropriate for your situation.
Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.