The same as you do today for an in-office visit, with an additional modifier that represents a telemedicine visit. There are several modifiers that can be used, depending payer guidelines so it is best you contact specific payers directly to understand their requirements. Until this year, the standard telemedicine modifier was GT, so for example, a new patient consultation that is “via interactive audio and video telecommunications systems” would be submitted 99201 GT. Starting in 2018, CMS has indicated their preference in eliminating the GT modifier in most cases and using the POS code 02 in its place. Separately, the AMA has been promoting the 95 modifier in certain encounters.