Common Telemedicine Billing Codes
Man working with billing

Common Telemedicine Billing Codes

Billing for Telemedicine

Historically, the adoption of telemedicine has been slow due to the complexities surrounding reimbursement. CMS (Centers for Medicare & Medicaid Services) and private payers have been slow to enact policies regarding the billing of telemedicine. Due to this, many clinics and hospitals have been reluctant to institute telehealth programs. However, many states require payers to reimburse for telemedicine –

Common CPT Codes for Telemedicine

  1. Medicare Telehealth Visits What is the Service: A visit with a provider that uses telecommunication systems between a provider and a patient.

    CPT Code(s):
    1. 99201-99215 (Office or other outpatient visits)
    2. G0425-G0427 (Telehealth consultations, emergency department or initial inpatient)
    3. G0406-G0408 (Follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals or SNFs)

    Patient Relationship with Provider: For new or established patients

  2. Virtual Check-In What is the Service: A brief (5-10 minutes) check-in with your practitioner via telephone or another telecommunications device to decide whether an office visit or another visit is needed. A remote evaluation of recorded video and/or images submitted by an established patient.
    HCPCS Code(s):
    1. HCPCS code G2012
    2. HCPCS code G2010

    Patient Relationship with Provider:
    For established patients

  3. E-Visits What is the Service: A communication between a patient and their provider through an online patient portal.
    CPT Code(s):
    1. 99421
    2. 99422
    3. 99423
    4. G2061
    5. G2062
    6. G2063

    Patient Relationship with Provider: For established patients