A recent article from the American Medical Association said, "Previously, physicians were prohibited from offering most Medicare telehealth services outside of rural areas, and Medicare patients in rural areas were not able to receive most of those services unless they traveled to a health care facility. The AMA recommended that these and other changes be made permanent, but the agency said this was beyond its authority and only extended the changes for the duration of the PHE."

This article talks about the 2021 Physician Fee Schedule.

See a list of Medicare telehealth reimbursement codes:

Two HCPCS codes, G2010 and G2012, were created for the calendar year 2019 to pay providers who use communication technology to evaluate and manage patient care.

Three CPT codes, 99453, 99454, and 99457 have been created to address the need to reimburse providers who utilize remote monitoring tools with their patients. 

As of January 1, 2020, the following three codes (describing new bundled services for treatment of opioid use disorders) have been available as part of the covered Medicare telehealth services list:

  • HCPCS code G2086: Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month.

  • HCPCS code G2087: Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month.

  • HCPCS code G2088: Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (List separately in addition to code for primary procedure).

Commercial Insurance Reimbursement

If you have any questions, please contact our support team.

Did this answer your question?