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Telehealth Services

The below list of services payable under the Medicare Physician Fee Schedule when furnished via telehealth during the PHE (Public Health Emergency)

CPT Short Descriptor

77427 Radiation tx management x5

90785 Psytx complex interactive

90791 Psych diagnostic evaluation

90792 Psych diag eval w/med srvcs

90832 Psytx w pt 30 minutes

90833 Psytx w pt w e/m 30 min

90834 Psytx w pt 45 minutes

90836 Psytx w pt w e/m 45 min

90837 Psytx w pt 60 minutes

90838 Psytx w pt w e/m 60 min

90839 Psytx crisis initial 60 min

90840 Psytx crisis ea addl 30 min

90845 Psychoanalysis

90846 Family psytx w/o pt 50 min

90847 Family psytx w/pt 50 min

90853 Group psychotherapy

90875 Psychophysiological therapy

90951 Esrd serv 4 visits p mo <2yr

90952 Esrd serv 2-3 vsts p mo <2yr

90953 Esrd serv 1 visit p mo <2yrs

90954 Esrd serv 4 vsts p mo 2-11

90955 Esrd srv 2-3 vsts p mo 2-11

90956 Esrd srv 1 visit p mo 2-11

90957 Esrd srv 4 vsts p mo 12-19

90958 Esrd srv 2-3 vsts p mo 12-19

90959 Esrd serv 1 vst p mo 12-19

90960 Esrd srv 4 visits p mo 20+

90961 Esrd srv 2-3 vsts p mo 20+

90962 Esrd serv 1 visit p mo 20+

90963 Esrd home pt serv p mo <2yrs

90964 Esrd home pt serv p mo 2-11

90965 Esrd home pt serv p mo 12-19

90966 Esrd home pt serv p mo 20+

90967 Esrd svc pr day pt <2

90968 Esrd svc pr day pt 2-11

90969 Esrd svc pr day pt 12-19

90970 Esrd svc pr day pt 20+

92002 Eye exam new patient

92004 Eye exam new patient

92012 Eye exam establish patient

92014 Eye exam&tx estab pt 1/>vst

92507 Speech/hearing therapy

92508 Speech/hearing therapy

92521 Evaluation of speech fluency

92522 Evaluate speech production

92523 Speech sound lang comprehen

92524 Behavral qualit analys voice

92526 Oral function therapy

92550 Tympanometry & reflex thresh

92552 Pure tone audiometry air

92553 Audiometry air & bone

92555 Speech threshold audiometry

92556 Speech audiometry complete

92557 Comprehensive hearing test

92563 Tone decay hearing test

92565 Stenger test pure tone

92567 Tympanometry

92568 Acoustic refl threshold tst

92570 Acoustic immitance testing

92587 Evoked auditory test limited

92601 Cochlear implt f/up exam <7

92602 Reprogram cochlear implt <7

92603 Cochlear implt f/up exam 7/>

92604 Reprogram cochlear implt 7/>

92607 Ex for speech device rx 1hr

92608 Ex for speech device rx addl

92609 Use of speech device service

92610 Evaluate swallowing function

92625 Tinnitus assessment

92626 Eval aud funcj 1st hour

92627 Eval aud funcj ea addl 15

93750 Interrogation vad in person

93797 Cardiac rehab

93798 Cardiac rehab/monitor

94002 Vent mgmt inpat init day

94003 Vent mgmt inpat subq day

94004 Vent mgmt nf per day

94005 Home vent mgmt supervision

94664 Evaluate pt use of inhaler

95970 Alys npgt w/o prgrmg

95971 Alys smpl sp/pn npgt w/prgrm

95972 Alys cplx sp/pn npgt w/prgrm

95983 Alys brn npgt prgrmg 15 min

95984 Alys brn npgt prgrmg addl 15

96105 Assessment of aphasia

96110 Developmental screen w/score

96112 Devel tst phys/qhp 1st hr

96113 Devel tst phys/qhp ea addl

96116 Nubhvl xm phys/qhp 1st hr

96121 Nubhvl xm phy/qhp ea addl hr

96125 Cognitive test by hc pro

96127 Brief emotional/behav assmt

96130 Psycl tst eval phys/qhp 1st

96131 Psycl tst eval phys/qhp ea

96132 Nrpsyc tst eval phys/qhp 1st

96133 Nrpsyc tst eval phys/qhp ea

96136 Psycl/nrpsyc tst phy/qhp 1st

96137 Psycl/nrpsyc tst phy/qhp ea

96138 Psycl/nrpsyc tech 1st

96139 Psycl/nrpsyc tst tech ea

96156 Hlth bhv assmt/reassessment

96158 Hlth bhv ivntj indiv 1st 30

96159 Hlth bhv ivntj indiv ea addl

96160 Pt-focused hlth risk assmt

96161 Caregiver health risk assmt

96164 Hlth bhv ivntj grp 1st 30

96165 Hlth bhv ivntj grp ea addl

96167 Hlth bhv ivntj fam 1st 30

96168 Hlth bhv ivntj fam ea addl

96168 Hlth bhv ivntj fam ea addl

96170 Hlth bhv ivntj fam wo pt 1st

96171 Hlth bhv ivntj fam w/o pt ea

97110 Therapeutic exercises

97112 Neuromuscular reeducation

97116 Gait training therapy

97129 Ther ivntj 1st 15 min

97130 Ther ivntj ea addl 15 min

97150 Group therapeutic procedures

97151 Bhv id assmt by phys/qhp

97152 Bhv id suprt assmt by 1 tech

97153 Adaptive behavior tx by tech

97154 Grp adapt bhv tx by tech

97155 Adapt behavior tx phys/qhp

97156 Fam adapt bhv tx gdn phy/qhp

97157 Mult fam adapt bhv tx gdn

97158 Grp adapt bhv tx by phy/qhp

97161 Pt eval low complex 20 min

97162 Pt eval mod complex 30 min

97163 Pt eval high complex 45 min

97164 Pt re-eval est plan care

97165 Ot eval low complex 30 min

97166 Ot eval mod complex 45 min

97167 Ot eval high complex 60 min

97168 Ot re-eval est plan care

97530 Therapeutic activities

97535 Self care mngment training

97542 Wheelchair mngment training

97750 Physical performance test

97755 Assistive technology assess

97760 Orthotic mgmt&traing 1st enc

97761 Prosthetic traing 1st enc

97802 Medical nutrition indiv in

97803 Med nutrition indiv subseq

97804 Medical nutrition group

99202 Office/outpatient visit new

99203 Office/outpatient visit new

99204 Office/outpatient visit new

99205 Office/outpatient visit new

99211 Office/outpatient visit est

99212 Office/outpatient visit est

99213 Office/outpatient visit est

99214 Office/outpatient visit est

99215 Office/outpatient visit est

99217 Observation care discharge

99218 Initial observation care

99219 Initial observation care

99220 Initial observation care

99221 Initial hospital care

99222 Initial hospital care

99223 Initial hospital care

99224 Subsequent observation care

99225 Subsequent observation care

99226 Subsequent observation care

99231 Subsequent hospital care

99232 Subsequent hospital care

99233 Subsequent hospital care

99234 Observ/hosp same date

99235 Observ/hosp same date

99236 Observ/hosp same date

99238 Hospital discharge day

99239 Hospital discharge day

99281 Emergency dept visit

99282 Emergency dept visit

99283 Emergency dept visit

99284 Emergency dept visit

99285 Emergency dept visit

99291 Critical care first hour

99292 Critical care addl 30 min

99304 Nursing facility care init

99305 Nursing facility care init

99306 Nursing facility care init

99307 Nursing fac care subseq

99308 Nursing fac care subseq

99309 Nursing fac care subseq

99310 Nursing fac care subseq

99315 Nursing fac discharge day

99316 Nursing fac discharge day

99324 Domicil/r-home visit new pat

99325 Domicil/r-home visit new pat

99326 Domicil/r-home visit new pat

99327 Domicil/r-home visit new pat

99328 Domicil/r-home visit new pat

99334 Domicil/r-home visit est pat

99335 Domicil/r-home visit est pat

99336 Domicil/r-home visit est pat

99337 Domicil/r-home visit est pat

99341 Home visit new patient

99342 Home visit new patient

99343 Home visit new patient

99344 Home visit new patient

99345 Home visit new patient

99347 Home visit est patient

99348 Home visit est patient

99349 Home visit est patient

99350 Home visit est patient

99354 Prolong e&m/psyctx serv o/p

99355 Prolong e&m/psyctx serv o/p

99356 Prolonged service inpatient

99357 Prolonged service inpatient

99406 Behav chng smoking 3-10 min

99407 Behav chng smoking > 10 min

99441 Phone e/m phys/qhp 5-10 min

99442 Phone e/m phys/qhp 11-20 min

99443 Phone e/m phys/qhp 21-30 min

99468 Neonate crit care initial

99469 Neonate crit care subsq

99471 Ped critical care initial

99472 Ped critical care subsq

99473 Self-meas bp pt educaj/train

99475 Ped crit care age 2-5 init

99476 Ped crit care age 2-5 subsq

99477 Init day hosp neonate care

99478 Ic lbw inf < 1500 gm subsq

99479 Ic lbw inf 1500-2500 g subsq

99480 Ic inf pbw 2501-5000 g subsq

99483 Assmt & care pln pt cog imp

99495 Trans care mgmt 14 day disch

99496 Trans care mgmt 7 day disch

99497 Advncd care plan 30 min

99498 Advncd care plan addl 30 min

0373T Adapt bhv tx ea 15 min

S9152 Speech therapy, re-eval

0362T Bhv id suprt assmt ea 15 min

G0108 Diab manage trn  per indiv

G0109 Diab manage trn ind/group

G0270 Mnt subs tx for change dx

G0296 Visit to determ ldct elig

G0396 Alcohol/subs interv 15-30mn

G0397 Alcohol/subs interv >30 min

G0406 Inpt/tele follow up 15

G0407 Inpt/tele follow up 25

G0408 Inpt/tele follow up 35

G0410 Grp psych partial hosp 45-50

G0420 Ed svc ckd ind per session

G0421 Ed svc ckd grp per session

G0422 Intens cardiac rehab w/exerc

G0423 Intens cardiac rehab no exer

G0424 Pulmonary rehab w exer

G0425 Inpt/ed teleconsult30

G0426 Inpt/ed teleconsult50

G0427 Inpt/ed teleconsult70

G0438 Ppps, initial visit

G0439 Ppps, subseq visit

G0442 Annual alcohol screen 15 min

G0443 Brief alcohol misuse counsel

G0444 Depression screen annual

G0445 High inten beh couns std 30m

G0446 Intens behave ther cardio dx

G0447 Behavior counsel obesity 15m

G0459 Telehealth inpt pharm mgmt

G0506 Comp asses care plan ccm svc

G0508 Crit care telehea consult 60

G0509 Crit care telehea consult 50

G0513 Prolong prev svcs, first 30m

G0514 Prolong prev svcs, addl 30m

G2086 Off base opioid tx 70min

G2087 Off base opioid tx, 60 m

G2088 Off base opioid tx, add30

G2211 Complex E/M visit add on

G2212 Prolong outpt/office vis

G9685 Acute nursing facility care





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