What this is, in plain language
A video visit with a clinician you have seen before, about 45 minutes of total provider time or moderate-complexity decision-making.
Why a clinician orders it
Managing two or more chronic conditions, a new problem with workup, or prescription changes with moderate risk.
Medical necessity — what insurers usually look at
Plan dependent. Documentation should support the level billed, same as in-person visits.
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
- ✓Problems addressed and data reviewed
- ✓Total time or decision-making elements
Questions for your provider
- ?Does my plan cover this level of video visit?
- ?Will anything ordered today be billed separately?
Why this code is in our seed set
Part of the new CPT 98000–98015 telehealth E/M family introduced for 2025.
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.