Medicare Telehealth Service Codes

Disclaimer: This page is for reference only. These codes are up-to-date as of January 2019 and are in no relation to HIPAA Video. To ensure you are using the most up-to-date billing codes, please refer to CMS.gov.

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CPT 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)

90851

End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month <2 years old
90852
End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month <2 years old

90854

End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month 2-11 years old

90855

End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month 2-11 years old

90857

End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month 12-19 years old

90858

End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month 12-19 years old

90860

End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 4 visits per month 20+ years old

90861

End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment – 2-3 visits per month 20+ years old

90863

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

90864

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

90865

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

90866

End-Stage Renal Disease (ESRD)-related services for home dialysis per full month, for patients 20 years of age and older

90867

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

90868

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

90869

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

90870

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

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

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HCPCS Codes

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)

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