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What is telehealth and what Medicare related healthcare services are available through telehealth?

Category: Supplemental Benefits
Updated: Mar, 06 2024


The Medicare & You handbook provided the following description of "telehealth":

"Medicare covers services like office visits, psychotherapy, consultations, and certain other medical or health services provided by an eligible provider who isn’t at your location using an interactive, two-way telecommunications system (like real-time audio and video). These services are available in rural areas, under certain conditions, but only if you’re located at: a doctor’s office, hospital, critical access hospital, Rural Health Clinic, Federally Qualified Health Center, hospital-based dialysis facility, skilled nursing facility, or community mental health center.

Medicare has expanded telehealth to include:
  • You can get certain telehealth services at renal dialysis facilities and at home.
  • You can get telehealth services for faster diagnosis, evaluation, or treatment of symptoms of an acute stroke no matter where you’re located.
  • If you have a substance use disorder [such as alchoholism] or a co-occurring mental health disorder, you can get telehealth services from home.
For most of these services, you’ll pay the same amount that you would if you got the services in person."

The Medicare & You handbook continues on to expand the geographically-limited concept telehealth noting that:

"Starting in 2020, Medicare Advantage Plans may offer more telehealth benefits than Original Medicare. These benefits will be available no matter where you’re located, and you can use them at home instead of going to a health care facility. Check with your plan to see what additional telehealth benefits are offered."

What services might be covered by telehealth?

The Centers for Medicare and Medicaid Services (CMS) provides the following list of services payable under the Medicare Physician Fee Schedule when furnished via telehealth or telemedicine.


2024 LIST OF MEDICARE TELEHEALTH SERVICES
 effective January 1, 2024
HCPCS Short Descriptor Can Audio-only Interaction Meet the Requirements? Category
0362TBhv id suprt assmt ea 15 minNoprovisional
0373TAdapt bhv tx ea 15 minNoprovisional
0591THlth&wb coaching indiv 1stYesprovisional
0592THlth&wb coaching indiv f-upYesprovisional
0593THlth&wb coaching indiv groupYesprovisional
77427Radiation tx management x5Noprovisional
90785Psytx complex interactiveYespermanent
90791Psych diagnostic evaluationYespermanent
90792Psych diag eval w/med srvcsYespermanent
90832Psytx w pt 30 minutesYespermanent
90833Psytx w pt w e/m 30 minYespermanent
90834Psytx w pt 45 minutesYespermanent
90836Psytx w pt w e/m 45 minYespermanent
90837Psytx w pt 60 minutesYespermanent
90838Psytx w pt w e/m 60 minYespermanent
90839Psytx crisis initial 60 minYespermanent
90840Psytx crisis ea addl 30 minYespermanent
90845PsychoanalysisYespermanent
90846Family psytx w/o pt 50 minYespermanent
90847Family psytx w/pt 50 minYespermanent
90853Group psychotherapyYespermanent
90875Psychophysiological therapyNoprovisional
90901Biofeedback train any methNoprovisional
90951Esrd serv 4 visits p mo <2yrNopermanent
90952Esrd serv 2-3 vsts p mo <2yrNopermanent
90953Esrd serv 1 visit p mo <2yrsNoprovisional
90954Esrd serv 4 vsts p mo 2-11Nopermanent
90955Esrd srv 2-3 vsts p mo 2-11Nopermanent
90956Esrd srv 1 visit p mo 2-11Noprovisional
90957Esrd srv 4 vsts p mo 12-19Nopermanent
90958Esrd srv 2-3 vsts p mo 12-19Nopermanent
90959Esrd serv 1 vst p mo 12-19Noprovisional
90960Esrd srv 4 visits p mo 20+Nopermanent
90961Esrd srv 2-3 vsts p mo 20+Nopermanent
90962Esrd serv 1 visit p mo 20+Noprovisional
90963Esrd home pt serv p mo <2yrsNopermanent
90964Esrd home pt serv p mo 2-11Nopermanent
90965Esrd home pt serv p mo 12-19Nopermanent
90966Esrd home pt serv p mo 20+Nopermanent
90967Esrd svc pr day pt <2Nopermanent
90968Esrd svc pr day pt 2-11Nopermanent
90969Esrd svc pr day pt 12-19Nopermanent
90970Esrd svc pr day pt 20+Nopermanent
92002Eye exam new patientNoprovisional
92004Eye exam new patientNoprovisional
92012Eye exam establish patientNoprovisional
92014Eye exam&tx estab pt 1/>vstNoprovisional
92507Speech/hearing therapyYesprovisional
92508Speech/hearing therapyYesprovisional
92521Evaluation of speech fluencyYesprovisional
92522Evaluate speech productionYesprovisional
92523Speech sound lang comprehenYesprovisional
92524Behavral qualit analys voiceYesprovisional
92526Oral function therapyNoprovisional
92550Tympanometry & reflex threshNoprovisional
92552Pure tone audiometry airNoprovisional
92553Audiometry air & boneNoprovisional
92555Speech threshold audiometryNoprovisional
92556Speech audiometry completeNoprovisional
92557Comprehensive hearing testNoprovisional
92563Tone decay hearing testNoprovisional
92565Stenger test pure toneNoprovisional
92567TympanometryNoprovisional
92568Acoustic refl threshold tstNoprovisional
92570Acoustic immitance testingNoprovisional
92587Evoked auditory test limitedNoprovisional
92588Evoked auditory tst completeNoprovisional
92601Cochlear implt f/up exam <7Noprovisional
92602Reprogram cochlear implt <7Noprovisional
92603Cochlear implt f/up exam 7/>Noprovisional
92604Reprogram cochlear implt 7/>Noprovisional
92607Ex for speech device rx 1hrNoprovisional
92608Ex for speech device rx addlNoprovisional
92609Use of speech device serviceNoprovisional
92610Evaluate swallowing functionNoprovisional
92625Tinnitus assessmentNoprovisional
92626Eval aud funcj 1st hourNoprovisional
92627Eval aud funcj ea addl 15Noprovisional
93750Interrogation vad in personNoprovisional
93797Cardiac rehabNoprovisional
93798Cardiac rehab/monitorNoprovisional
94002Vent mgmt inpat init dayNoprovisional
94003Vent mgmt inpat subq dayNoprovisional
94004Vent mgmt nf per dayNoprovisional
94005Home vent mgmt supervisionNoprovisional
94625Phy/qhp op pulm rhb w/o mntrNoprovisional
94626Phy/qhp op pulm rhb w/ mntrNoprovisional
94664Evaluate pt use of inhalerNoprovisional
95970Alys npgt w/o prgrmgNoprovisional
95971Alys smpl sp/pn npgt w/prgrmNoprovisional
95972Alys cplx sp/pn npgt w/prgrmNoprovisional
95983Alys brn npgt prgrmg 15 minNoprovisional
95984Alys brn npgt prgrmg addl 15Noprovisional
96105Assessment of aphasiaNoprovisional
96110Developmental screen w/scoreNoprovisional
96112Devel tst phys/qhp 1st hrNoprovisional
96113Devel tst phys/qhp ea addlNoprovisional
96116Nubhvl xm phys/qhp 1st hrYespermanent
96121Nubhvl xm phy/qhp ea addl hrYespermanent
96125Cognitive test by hc proNoprovisional
96127Brief emotional/behav assmtYesprovisional
96130Psycl tst eval phys/qhp 1stYesprovisional
96131Psycl tst eval phys/qhp eaYesprovisional
96132Nrpsyc tst eval phys/qhp 1stYesprovisional
96133Nrpsyc tst eval phys/qhp eaYesprovisional
96136Psycl/nrpsyc tst phy/qhp 1stYesprovisional
96137Psycl/nrpsyc tst phy/qhp eaYesprovisional
96138Psycl/nrpsyc tech 1stYesprovisional
96139Psycl/nrpsyc tst tech eaYesprovisional
96156Hlth bhv assmt/reassessmentYespermanent
96158Hlth bhv ivntj indiv 1st 30Yespermanent
96159Hlth bhv ivntj indiv ea addlYespermanent
96160Pt-focused hlth risk assmtYespermanent
96161Caregiver health risk assmtYespermanent
96164Hlth bhv ivntj grp 1st 30Yespermanent
96165Hlth bhv ivntj grp ea addlYespermanent
96167Hlth bhv ivntj fam 1st 30Yespermanent
96168Hlth bhv ivntj fam ea addlYespermanent
96170Hlth bhv ivntj fam wo pt 1stNoprovisional
96171Hlth bhv ivntj fam w/o pt eaNoprovisional
97110Therapeutic exercisesNoprovisional
97112Neuromuscular reeducationNoprovisional
97116Gait training therapyNoprovisional
97129Ther ivntj 1st 15 minNoprovisional
97130Ther ivntj ea addl 15 minNoprovisional
97150Group therapeutic proceduresNoprovisional
97151Bhv id assmt by phys/qhpNoprovisional
97152Bhv id suprt assmt by 1 techNoprovisional
97153Adaptive behavior tx by techNoprovisional
97154Grp adapt bhv tx by techNoprovisional
97155Adapt behavior tx phys/qhpNoprovisional
97156Fam adapt bhv tx gdn phy/qhpNoprovisional
97157Mult fam adapt bhv tx gdnNoprovisional
97158Grp adapt bhv tx by phy/qhpNoprovisional
97161Pt eval low complex 20 minNoprovisional
97162Pt eval mod complex 30 minNoprovisional
97163Pt eval high complex 45 minNoprovisional
97164Pt re-eval est plan careNoprovisional
97165Ot eval low complex 30 minNoprovisional
97166Ot eval mod complex 45 minNoprovisional
97167Ot eval high complex 60 minNoprovisional
97168Ot re-eval est plan careNoprovisional
97530Therapeutic activitiesNoprovisional
97535Self care mngment trainingYesprovisional
97537Community/work reintegrationNoprovisional
97542Wheelchair mngment trainingNoprovisional
97750Physical performance testNoprovisional
97755Assistive technology assessNoprovisional
97760Orthotic mgmt&traing 1st encNoprovisional
97761Prosthetic traing 1st encNoprovisional
97763Orthc/prostc mgmt sbsq encNoprovisional
97802Medical nutrition indiv inYespermanent
97803Med nutrition indiv subseqYespermanent
97804Medical nutrition groupYespermanent
98960Self-mgmt educ & train 1 ptNoprovisional
98961Self-mgmt educ/train 2-4 ptNoprovisional
98962Self-mgmt educ/train 5-8 ptNoprovisional
98966Hc pro phone call 5-10 minYespermanent
98967Hc pro phone call 11-20 minYespermanent
98968Hc pro phone call 21-30 minYespermanent
99202Office/outpatient visit newNopermanent
99203Office/outpatient visit newNopermanent
99204Office/outpatient visit newNopermanent
99205Office/outpatient visit newNopermanent
99211Office/outpatient visit estNopermanent
99212Office/outpatient visit estNopermanent
99213Office/outpatient visit estNopermanent
99214Office/outpatient visit estNopermanent
99215Office/outpatient visit estNopermanent
99221Initial hospital careNoprovisional
99222Initial hospital careNoprovisional
99223Initial hospital careNoprovisional
99231Subsequent hospital careNopermanent
99232Subsequent hospital careNopermanent
99233Subsequent hospital careNopermanent
99234Observ/hosp same dateNoprovisional
99235Observ/hosp same dateNoprovisional
99236Observ/hosp same dateNoprovisional
99238Hospital discharge dayNoprovisional
99239Hospital discharge dayNoprovisional
99281Emergency dept visitNoprovisional
99282Emergency dept visitNoprovisional
99283Emergency dept visitNoprovisional
99284Emergency dept visitNoprovisional
99285Emergency dept visitNoprovisional
99291Critical care first hourNoprovisional
99292Critical care addl 30 minNoprovisional
99304Nursing facility care initNoprovisional
99305Nursing facility care initNoprovisional
99306Nursing facility care initNoprovisional
99307Nursing fac care subseqNopermanent
99308Nursing fac care subseqNopermanent
99309Nursing fac care subseqNopermanent
99310Nursing fac care subseqNopermanent
99315Nursing fac discharge dayNoprovisional
99316Nursing fac discharge dayNoprovisional
99341Home visit new patientNoprovisional
99342Home visit new patientNoprovisional
99344Home visit new patientNoprovisional
99345Home visit new patientNoprovisional
99347Home visit est patientNopermanent
99348Home visit est patientNopermanent
99349Home visit est patientNoprovisional
99350Home visit est patientNoprovisional
99406Behav chng smoking 3-10 minYespermanent
99407Behav chng smoking > 10 minYespermanent
99441Phone e/m phys/qhp 5-10 minYesprovisional
99442Phone e/m phys/qhp 11-20 minYesprovisional
99443Phone e/m phys/qhp 21-30 minYesprovisional
99468Neonate crit care initialNoprovisional
99469Neonate crit care subsqNoprovisional
99471Ped critical care initialNoprovisional
99472Ped critical care subsqNoprovisional
99473Self-meas bp pt educaj/trainNoprovisional
99475Ped crit care age 2-5 initNoprovisional
99476Ped crit care age 2-5 subsqNoprovisional
99477Init day hosp neonate careNoprovisional
99478Ic lbw inf < 1500 gm subsqNoprovisional
99479Ic lbw inf 1500-2500 g subsqNoprovisional
99480Ic inf pbw 2501-5000 g subsqNoprovisional
99483Assmt & care pln pt cog impNopermanent
99495Trans care mgmt 14 day dischNopermanent
99496Trans care mgmt 7 day dischNopermanent
99497Advncd care plan 30 minYespermanent
99498Advncd care plan addl 30 minYespermanent
G0108Diab manage trnper indivYespermanent
G0109Diab manage trn ind/groupYespermanent
G0136Admin SDOH risk assmt tool, 5-15 minNopermanent
G0270Mnt subs tx for change dxYespermanent
G0296Visit to determ ldct eligYespermanent
G0316Prolonged hospital inpatient or observation care Nopermanent
G0317Prolonged nursing facility evaluation and management serviceNopermanent
G0318Prolonged home or residence evaluation and management Nopermanent
G0396Alcohol/subs interv 15-30mnYespermanent
G0397Alcohol/subs interv >30 minYespermanent
G0406Inpt/tele follow up 15Yespermanent
G0407Inpt/tele follow up 25Yespermanent
G0408Inpt/tele follow up 35Yespermanent
G0410Grp psych partial hosp 45-50Noprovisional
G0420Ed svc ckd ind per sessionYespermanent
G0421Ed svc ckd grp per sessionYespermanent
G0422Intens cardiac rehab w/exercNoprovisional
G0423Intens cardiac rehab no exerNoprovisional
G0425Inpt/ed teleconsult30Yespermanent
G0426Inpt/ed teleconsult50Yespermanent
G0427Inpt/ed teleconsult70Yespermanent
G0438Ppps, initial visitYespermanent
G0439Ppps, subseq visitYespermanent
G0442Annual alcohol screen 15 minYespermanent
G0443Brief alcohol misuse counselYespermanent
G0444Depression screen annualYespermanent
G0445High inten beh couns std 30mYespermanent
G0446Intens behave ther cardio dxYespermanent
G0447Behavior counsel obesity 15mYespermanent
G0459Telehealth inpt pharm mgmtYespermanent
G0506Comp asses care plan ccm svcYespermanent
G0508Crit care telehea consult 60Nopermanent
G0509Crit care telehea consult 50Nopermanent
G0513Prolong prev svcs, first 30mYespermanent
G0514Prolong prev svcs, addl 30mYespermanent
G2086Off base opioid tx 70minYespermanent
G2087Off base opioid tx, 60 mYespermanent
G2088Off base opioid tx, add30Yespermanent
G2211Complex E/M visit add onYespermanent
G2212Prolong outpt/office visYespermanent
G3002Chronic pain tx monthly bNopermanent
G3003Addition 15m pain mangNopermanent
G9685Acute nursing facility careNoprovisional

https://www.cms.gov/medicare/coverage/telehealth/list-services





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