Disclaimer: This page is for reference only. These codes are up-to-date as of January 2019 and are in no relation to HIPAAVIDEO.NET. To ensure you are using the most up-to-date billing codes, we are referring you to CMS Telehealth Codes

Code Description of Service
90785 Interactive Complexity Psychiatry Services and Procedures
90791 Psychiatric diagnostic interview examination – Diagnostic evaluation
90792 Psychiatric diagnostic interview examination – Diagnostic evaluation w/ medical services
90832 Individual psychotherapy – Patient and family: 30 minutes
90833 Individual psychotherapy – Patient and family /w evaluation and management: 30 minutes
90834 Individual psychotherapy – Patient and family: 45 minutes
90836 Individual psychotherapy – Patient and family /w evaluation and management: 45 minutes
90837 Individual psychotherapy – Patient and family: 60 minutes
90838 Individual psychotherapy – Patient and family /w evaluation and management: 60 minutes
90839 Psychotherapy for crisis – Initial 60 minutes
90840 Psychotherapy for crisis – Each additional 30 minutes
90845 Psychoanalysis
90846 Family psychotherapy (without the patient present)
90847 Family psychotherapy (conjoint psychotherapy) (with patient present)
90951 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month <2 years old
90952 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month <2 years old
90954 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month 2-11 years old
90955 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month 2-11 years old
90957 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month 12-19 years old
90958 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month 12-19 years old
90960 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month 20+ years old
90961 End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month 20+ years old
90963 End-Stage Renal Disease (ESRD)-related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
90964 End-Stage Renal Disease (ESRD)-related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
90965 End-Stage Renal Disease (ESRD)-related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
90966 End-Stage Renal Disease (ESRD)-related services for home dialysis per full month, for patients 20 years of age and older
90967 End-Stage Renal Disease (ESRD)-related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age
90968 End-Stage Renal Disease (ESRD)-related services for dialysis less than a full month of service per day; for patients 2-11 years of age
90969 End-Stage Renal Disease (ESRD)-related services for dialysis less than a full month of service, per day; for patients 12-19 years of age
90970 End-Stage Renal Disease (ESRD)-related services for dialysis less than a full month of service, per day; for patients 20 years of age and older
96116 Neurobehavioral status examination
96150 Individual and group health and behavior assessment – Initial
96151 Individual and group health and behavior assessment – Subsequent
96152 Individual health and behavior intervention
96153 Group health and behavior and intervention
96154 Individual health and behavior intervention – Family /w patient
96160 Patient-focused health risk assessment
96161 Caregiver health risk assessment
97802 Individual medical nutrition therapy – Initial
97803 Individual medical nutrition therapy – Subsequent
97804 Group medical nutrition therapy
99201 Office/outpatient visit new – Level 1
99202 Office/outpatient visit new – Level 2
99203 Office/outpatient visit new – Level 3
99204 Office/outpatient visit new – Level 4
99205 Office/outpatient visit new – Level 5
99211 Office/outpatient visit est – Level 1
99212 Office/outpatient visit est – Level 2
99213 Office/outpatient visit est – Level 3
99214 Office/outpatient visit est – Level 4
99215 Office/outpatient visit est – Level 5
99231 Subsequent hospital care services, with the limitation of 1 telehealth visit every 3 days
99232 Subsequent hospital care services, with the limitation of 1 telehealth visit every 3 days
99233 Subsequent hospital care services, with the limitation of 1 telehealth visit every 3 days
99307 Subsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99308 Subsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99309 Subsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99310 Subsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99354 Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour
99355 Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes
99356 Prolonged service in the inpatient or observation setting requiring unit/floor time beyond the usual service; first hour (list separately in addition to code for inpatient evaluation and management service)
99357 Prolonged service in the inpatient or observation setting requiring unit/floor time beyond the usual service; each additional 30 minutes (list separately in addition to code for prolonged service)
99406 Smoking cessation services – Behavioral change smoking 3-10 min
99407 Smoking cessation services – Behavioral change smoking > 10 min
99495 Transitional care management services with moderate medical decision complexity (face-to-face visit within 14 days of discharge)
99496 Transitional care management services with high medical decision complexity (face-to-face visit within 7 days of discharge)
99497 Advance Care Planning, 30 minutes
99498 Advance Care Planning, an additional 30 minutes
Code Description of Service
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes
G0296 Counseling visit to discuss need for lung cancer screening (ldct) using low dose ct scan (service is for eligibility determination and shared decision making)
G0396 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes
G0397 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
G0420 Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
G0421 Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G0442 Annual alcohol misuse screening, 15 minutes
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
G0444 Annual depression screening, 15 minutes
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
G0447 Face-to-face behavioral counseling for obesity, 15 minutes
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth
G0509 Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)
G0514 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)