2024 LIST OF MEDICARE TELEHEALTH SERVICES effective January 1, 2024 |
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HCPCS | Short Descriptor | Can Audio-only Interaction Meet the Requirements? | Category |
0362T | Bhv id suprt assmt ea 15 min | No | provisional |
0373T | Adapt bhv tx ea 15 min | No | provisional |
0591T | Hlth&wb coaching indiv 1st | Yes | provisional |
0592T | Hlth&wb coaching indiv f-up | Yes | provisional |
0593T | Hlth&wb coaching indiv group | Yes | provisional |
77427 | Radiation tx management x5 | No | provisional |
90785 | Psytx complex interactive | Yes | permanent |
90791 | Psych diagnostic evaluation | Yes | permanent |
90792 | Psych diag eval w/med srvcs | Yes | permanent |
90832 | Psytx w pt 30 minutes | Yes | permanent |
90833 | Psytx w pt w e/m 30 min | Yes | permanent |
90834 | Psytx w pt 45 minutes | Yes | permanent |
90836 | Psytx w pt w e/m 45 min | Yes | permanent |
90837 | Psytx w pt 60 minutes | Yes | permanent |
90838 | Psytx w pt w e/m 60 min | Yes | permanent |
90839 | Psytx crisis initial 60 min | Yes | permanent |
90840 | Psytx crisis ea addl 30 min | Yes | permanent |
90845 | Psychoanalysis | Yes | permanent |
90846 | Family psytx w/o pt 50 min | Yes | permanent |
90847 | Family psytx w/pt 50 min | Yes | permanent |
90853 | Group psychotherapy | Yes | permanent |
90875 | Psychophysiological therapy | No | provisional |
90901 | Biofeedback train any meth | No | provisional |
90951 | Esrd serv 4 visits p mo <2yr | No | permanent |
90952 | Esrd serv 2-3 vsts p mo <2yr | No | permanent |
90953 | Esrd serv 1 visit p mo <2yrs | No | provisional |
90954 | Esrd serv 4 vsts p mo 2-11 | No | permanent |
90955 | Esrd srv 2-3 vsts p mo 2-11 | No | permanent |
90956 | Esrd srv 1 visit p mo 2-11 | No | provisional |
90957 | Esrd srv 4 vsts p mo 12-19 | No | permanent |
90958 | Esrd srv 2-3 vsts p mo 12-19 | No | permanent |
90959 | Esrd serv 1 vst p mo 12-19 | No | provisional |
90960 | Esrd srv 4 visits p mo 20+ | No | permanent |
90961 | Esrd srv 2-3 vsts p mo 20+ | No | permanent |
90962 | Esrd serv 1 visit p mo 20+ | No | provisional |
90963 | Esrd home pt serv p mo <2yrs | No | permanent |
90964 | Esrd home pt serv p mo 2-11 | No | permanent |
90965 | Esrd home pt serv p mo 12-19 | No | permanent |
90966 | Esrd home pt serv p mo 20+ | No | permanent |
90967 | Esrd svc pr day pt <2 | No | permanent |
90968 | Esrd svc pr day pt 2-11 | No | permanent |
90969 | Esrd svc pr day pt 12-19 | No | permanent |
90970 | Esrd svc pr day pt 20+ | No | permanent |
92002 | Eye exam new patient | No | provisional |
92004 | Eye exam new patient | No | provisional |
92012 | Eye exam establish patient | No | provisional |
92014 | Eye exam&tx estab pt 1/>vst | No | provisional |
92507 | Speech/hearing therapy | Yes | provisional |
92508 | Speech/hearing therapy | Yes | provisional |
92521 | Evaluation of speech fluency | Yes | provisional |
92522 | Evaluate speech production | Yes | provisional |
92523 | Speech sound lang comprehen | Yes | provisional |
92524 | Behavral qualit analys voice | Yes | provisional |
92526 | Oral function therapy | No | provisional |
92550 | Tympanometry & reflex thresh | No | provisional |
92552 | Pure tone audiometry air | No | provisional |
92553 | Audiometry air & bone | No | provisional |
92555 | Speech threshold audiometry | No | provisional |
92556 | Speech audiometry complete | No | provisional |
92557 | Comprehensive hearing test | No | provisional |
92563 | Tone decay hearing test | No | provisional |
92565 | Stenger test pure tone | No | provisional |
92567 | Tympanometry | No | provisional |
92568 | Acoustic refl threshold tst | No | provisional |
92570 | Acoustic immitance testing | No | provisional |
92587 | Evoked auditory test limited | No | provisional |
92588 | Evoked auditory tst complete | No | provisional |
92601 | Cochlear implt f/up exam <7 | No | provisional |
92602 | Reprogram cochlear implt <7 | No | provisional |
92603 | Cochlear implt f/up exam 7/> | No | provisional |
92604 | Reprogram cochlear implt 7/> | No | provisional |
92607 | Ex for speech device rx 1hr | No | provisional |
92608 | Ex for speech device rx addl | No | provisional |
92609 | Use of speech device service | No | provisional |
92610 | Evaluate swallowing function | No | provisional |
92625 | Tinnitus assessment | No | provisional |
92626 | Eval aud funcj 1st hour | No | provisional |
92627 | Eval aud funcj ea addl 15 | No | provisional |
93750 | Interrogation vad in person | No | provisional |
93797 | Cardiac rehab | No | provisional |
93798 | Cardiac rehab/monitor | No | provisional |
94002 | Vent mgmt inpat init day | No | provisional |
94003 | Vent mgmt inpat subq day | No | provisional |
94004 | Vent mgmt nf per day | No | provisional |
94005 | Home vent mgmt supervision | No | provisional |
94625 | Phy/qhp op pulm rhb w/o mntr | No | provisional |
94626 | Phy/qhp op pulm rhb w/ mntr | No | provisional |
94664 | Evaluate pt use of inhaler | No | provisional |
95970 | Alys npgt w/o prgrmg | No | provisional |
95971 | Alys smpl sp/pn npgt w/prgrm | No | provisional |
95972 | Alys cplx sp/pn npgt w/prgrm | No | provisional |
95983 | Alys brn npgt prgrmg 15 min | No | provisional |
95984 | Alys brn npgt prgrmg addl 15 | No | provisional |
96105 | Assessment of aphasia | No | provisional |
96110 | Developmental screen w/score | No | provisional |
96112 | Devel tst phys/qhp 1st hr | No | provisional |
96113 | Devel tst phys/qhp ea addl | No | provisional |
96116 | Nubhvl xm phys/qhp 1st hr | Yes | permanent |
96121 | Nubhvl xm phy/qhp ea addl hr | Yes | permanent |
96125 | Cognitive test by hc pro | No | provisional |
96127 | Brief emotional/behav assmt | Yes | provisional |
96130 | Psycl tst eval phys/qhp 1st | Yes | provisional |
96131 | Psycl tst eval phys/qhp ea | Yes | provisional |
96132 | Nrpsyc tst eval phys/qhp 1st | Yes | provisional |
96133 | Nrpsyc tst eval phys/qhp ea | Yes | provisional |
96136 | Psycl/nrpsyc tst phy/qhp 1st | Yes | provisional |
96137 | Psycl/nrpsyc tst phy/qhp ea | Yes | provisional |
96138 | Psycl/nrpsyc tech 1st | Yes | provisional |
96139 | Psycl/nrpsyc tst tech ea | Yes | provisional |
96156 | Hlth bhv assmt/reassessment | Yes | permanent |
96158 | Hlth bhv ivntj indiv 1st 30 | Yes | permanent |
96159 | Hlth bhv ivntj indiv ea addl | Yes | permanent |
96160 | Pt-focused hlth risk assmt | Yes | permanent |
96161 | Caregiver health risk assmt | Yes | permanent |
96164 | Hlth bhv ivntj grp 1st 30 | Yes | permanent |
96165 | Hlth bhv ivntj grp ea addl | Yes | permanent |
96167 | Hlth bhv ivntj fam 1st 30 | Yes | permanent |
96168 | Hlth bhv ivntj fam ea addl | Yes | permanent |
96170 | Hlth bhv ivntj fam wo pt 1st | No | provisional |
96171 | Hlth bhv ivntj fam w/o pt ea | No | provisional |
97110 | Therapeutic exercises | No | provisional |
97112 | Neuromuscular reeducation | No | provisional |
97116 | Gait training therapy | No | provisional |
97129 | Ther ivntj 1st 15 min | No | provisional |
97130 | Ther ivntj ea addl 15 min | No | provisional |
97150 | Group therapeutic procedures | No | provisional |
97151 | Bhv id assmt by phys/qhp | No | provisional |
97152 | Bhv id suprt assmt by 1 tech | No | provisional |
97153 | Adaptive behavior tx by tech | No | provisional |
97154 | Grp adapt bhv tx by tech | No | provisional |
97155 | Adapt behavior tx phys/qhp | No | provisional |
97156 | Fam adapt bhv tx gdn phy/qhp | No | provisional |
97157 | Mult fam adapt bhv tx gdn | No | provisional |
97158 | Grp adapt bhv tx by phy/qhp | No | provisional |
97161 | Pt eval low complex 20 min | No | provisional |
97162 | Pt eval mod complex 30 min | No | provisional |
97163 | Pt eval high complex 45 min | No | provisional |
97164 | Pt re-eval est plan care | No | provisional |
97165 | Ot eval low complex 30 min | No | provisional |
97166 | Ot eval mod complex 45 min | No | provisional |
97167 | Ot eval high complex 60 min | No | provisional |
97168 | Ot re-eval est plan care | No | provisional |
97530 | Therapeutic activities | No | provisional |
97535 | Self care mngment training | Yes | provisional |
97537 | Community/work reintegration | No | provisional |
97542 | Wheelchair mngment training | No | provisional |
97750 | Physical performance test | No | provisional |
97755 | Assistive technology assess | No | provisional |
97760 | Orthotic mgmt&traing 1st enc | No | provisional |
97761 | Prosthetic traing 1st enc | No | provisional |
97763 | Orthc/prostc mgmt sbsq enc | No | provisional |
97802 | Medical nutrition indiv in | Yes | permanent |
97803 | Med nutrition indiv subseq | Yes | permanent |
97804 | Medical nutrition group | Yes | permanent |
98960 | Self-mgmt educ & train 1 pt | No | provisional |
98961 | Self-mgmt educ/train 2-4 pt | No | provisional |
98962 | Self-mgmt educ/train 5-8 pt | No | provisional |
98966 | Hc pro phone call 5-10 min | Yes | permanent |
98967 | Hc pro phone call 11-20 min | Yes | permanent |
98968 | Hc pro phone call 21-30 min | Yes | permanent |
99202 | Office/outpatient visit new | No | permanent |
99203 | Office/outpatient visit new | No | permanent |
99204 | Office/outpatient visit new | No | permanent |
99205 | Office/outpatient visit new | No | permanent |
99211 | Office/outpatient visit est | No | permanent |
99212 | Office/outpatient visit est | No | permanent |
99213 | Office/outpatient visit est | No | permanent |
99214 | Office/outpatient visit est | No | permanent |
99215 | Office/outpatient visit est | No | permanent |
99221 | Initial hospital care | No | provisional |
99222 | Initial hospital care | No | provisional |
99223 | Initial hospital care | No | provisional |
99231 | Subsequent hospital care | No | permanent |
99232 | Subsequent hospital care | No | permanent |
99233 | Subsequent hospital care | No | permanent |
99234 | Observ/hosp same date | No | provisional |
99235 | Observ/hosp same date | No | provisional |
99236 | Observ/hosp same date | No | provisional |
99238 | Hospital discharge day | No | provisional |
99239 | Hospital discharge day | No | provisional |
99281 | Emergency dept visit | No | provisional |
99282 | Emergency dept visit | No | provisional |
99283 | Emergency dept visit | No | provisional |
99284 | Emergency dept visit | No | provisional |
99285 | Emergency dept visit | No | provisional |
99291 | Critical care first hour | No | provisional |
99292 | Critical care addl 30 min | No | provisional |
99304 | Nursing facility care init | No | provisional |
99305 | Nursing facility care init | No | provisional |
99306 | Nursing facility care init | No | provisional |
99307 | Nursing fac care subseq | No | permanent |
99308 | Nursing fac care subseq | No | permanent |
99309 | Nursing fac care subseq | No | permanent |
99310 | Nursing fac care subseq | No | permanent |
99315 | Nursing fac discharge day | No | provisional |
99316 | Nursing fac discharge day | No | provisional |
99341 | Home visit new patient | No | provisional |
99342 | Home visit new patient | No | provisional |
99344 | Home visit new patient | No | provisional |
99345 | Home visit new patient | No | provisional |
99347 | Home visit est patient | No | permanent |
99348 | Home visit est patient | No | permanent |
99349 | Home visit est patient | No | provisional |
99350 | Home visit est patient | No | provisional |
99406 | Behav chng smoking 3-10 min | Yes | permanent |
99407 | Behav chng smoking > 10 min | Yes | permanent |
99441 | Phone e/m phys/qhp 5-10 min | Yes | provisional |
99442 | Phone e/m phys/qhp 11-20 min | Yes | provisional |
99443 | Phone e/m phys/qhp 21-30 min | Yes | provisional |
99468 | Neonate crit care initial | No | provisional |
99469 | Neonate crit care subsq | No | provisional |
99471 | Ped critical care initial | No | provisional |
99472 | Ped critical care subsq | No | provisional |
99473 | Self-meas bp pt educaj/train | No | provisional |
99475 | Ped crit care age 2-5 init | No | provisional |
99476 | Ped crit care age 2-5 subsq | No | provisional |
99477 | Init day hosp neonate care | No | provisional |
99478 | Ic lbw inf < 1500 gm subsq | No | provisional |
99479 | Ic lbw inf 1500-2500 g subsq | No | provisional |
99480 | Ic inf pbw 2501-5000 g subsq | No | provisional |
99483 | Assmt & care pln pt cog imp | No | permanent |
99495 | Trans care mgmt 14 day disch | No | permanent |
99496 | Trans care mgmt 7 day disch | No | permanent |
99497 | Advncd care plan 30 min | Yes | permanent |
99498 | Advncd care plan addl 30 min | Yes | permanent |
G0108 | Diab manage trnper indiv | Yes | permanent |
G0109 | Diab manage trn ind/group | Yes | permanent |
G0136 | Admin SDOH risk assmt tool, 5-15 min | No | permanent |
G0270 | Mnt subs tx for change dx | Yes | permanent |
G0296 | Visit to determ ldct elig | Yes | permanent |
G0316 | Prolonged hospital inpatient or observation care | No | permanent |
G0317 | Prolonged nursing facility evaluation and management service | No | permanent |
G0318 | Prolonged home or residence evaluation and management | No | permanent |
G0396 | Alcohol/subs interv 15-30mn | Yes | permanent |
G0397 | Alcohol/subs interv >30 min | Yes | permanent |
G0406 | Inpt/tele follow up 15 | Yes | permanent |
G0407 | Inpt/tele follow up 25 | Yes | permanent |
G0408 | Inpt/tele follow up 35 | Yes | permanent |
G0410 | Grp psych partial hosp 45-50 | No | provisional |
G0420 | Ed svc ckd ind per session | Yes | permanent |
G0421 | Ed svc ckd grp per session | Yes | permanent |
G0422 | Intens cardiac rehab w/exerc | No | provisional |
G0423 | Intens cardiac rehab no exer | No | provisional |
G0425 | Inpt/ed teleconsult30 | Yes | permanent |
G0426 | Inpt/ed teleconsult50 | Yes | permanent |
G0427 | Inpt/ed teleconsult70 | Yes | permanent |
G0438 | Ppps, initial visit | Yes | permanent |
G0439 | Ppps, subseq visit | Yes | permanent |
G0442 | Annual alcohol screen 15 min | Yes | permanent |
G0443 | Brief alcohol misuse counsel | Yes | permanent |
G0444 | Depression screen annual | Yes | permanent |
G0445 | High inten beh couns std 30m | Yes | permanent |
G0446 | Intens behave ther cardio dx | Yes | permanent |
G0447 | Behavior counsel obesity 15m | Yes | permanent |
G0459 | Telehealth inpt pharm mgmt | Yes | permanent |
G0506 | Comp asses care plan ccm svc | Yes | permanent |
G0508 | Crit care telehea consult 60 | No | permanent |
G0509 | Crit care telehea consult 50 | No | permanent |
G0513 | Prolong prev svcs, first 30m | Yes | permanent |
G0514 | Prolong prev svcs, addl 30m | Yes | permanent |
G2086 | Off base opioid tx 70min | Yes | permanent |
G2087 | Off base opioid tx, 60 m | Yes | permanent |
G2088 | Off base opioid tx, add30 | Yes | permanent |
G2211 | Complex E/M visit add on | Yes | permanent |
G2212 | Prolong outpt/office vis | Yes | permanent |
G3002 | Chronic pain tx monthly b | No | permanent |
G3003 | Addition 15m pain mang | No | permanent |
G9685 | Acute nursing facility care | No | provisional |