GT – Telehealth services are furnished under CAH Method II (Via interactive audio and video telecommunication systems).GQ – Telehealth services are furnished via asynchronous (store and forward) technology as part of a federal telemedicine demonstration project in Alaska and Hawaii.Per the CMS FAQs & The Medicare Learning Network’s March 20th update, CMS does not generally require additional or different modifiers on Medicare claims for telehealth services furnished under these waivers, except in the following three instances: Q: What Place of Service (POS) and modifiers are required to bill for telehealth services?Ī: For services furnished via telehealth, report Place of Service (02) for telehealth. Our recommendation is to review all the facts before making the best decision for your practice and consider contacting your local Medicare Administrator Contractor (MAC) for specific guidance. We realize, however, that many Home-Based Practices are choosing to use the set office visit code, in the interim, to maintain their practice.
#Billing telehealth visits 2021 code
HCCI is awaiting official guidance from CMS on whether Home-Based Practices that historically bill only for home or domiciliary visits should be concerned about a potential heightened audit risk if they use the office visit code set during this pandemic. Follow-up inpatient telehealth consultations in hospitals or SNF’s HCPCS range G0406-G0408įor a complete list of CPT codes, please refer to Medicare’s list of telehealth services.Telehealth consultations ED or initial inpatient visits HCPCS code range G0425-G0427.Administration of caregiver-focused health risk assessment instrument CPT code 96161.Annual Wellness Visits HCPCS codes G0438 and G0439.Transitional Care Management CPT codes 9946.Office/Outpatient CPT code range 99201-99215.
Q: What are the current Evaluation and Management (E/M) codes that can be billed for when the services are provided via telehealth under the 1135 Waiver?
In response to recent questions, we’ve outlined more information below to clarify additional questions you may have. We realize this is a challenging time for Home-Based Providers, and the Home Centered Care Institute (HCCI) is committed to supporting the field by providing timely information so you can make the best decisions for your practice. We also provided an overview of the 1135 Telehealth Waiver as part of the president’s emergency declaration during the country’s current public health emergency. In our recent article, Providing Telephonic and Virtual Care Requirements as part of COVID-19 Precautions, available on HCCI’s COVID-19 Information Hub, we highlighted the requirements of virtual visits.
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