New Telehealth Guide for Billing Medicare

Due to the COVID-19 pandemic, Medicare has relaxed requirements and expanded which services are reimbursed.

These changes are intended to be temporary.

The limitations on the location of the client (the originating site) have been removed.
Medicare has expanded which services it will reimburse. The full list can be found here.
The provider must still be an eligible provider.
Telemental health services must be conducted via audio and video equipment permitting two-way, real-time interactive communication between the client and clinician.
The same place of service that would be used for same-location-sessions (11) should be used, and the 95 modifier for video sessions should be used when billing for the service.
Some of the behavioral health CPT codes covered:
90785 Psytx complex interactive
90791 Psych diagnostic evaluation
90792 Psych diag eval w/med srvcs
90832 Psytx pt&/family 30 minutes
90833 Psytx pt&/fam w/e&m 30 min
90834 Psytx pt&/family 45 minutes
90836 Psytx pt&/fam w/e&m 45 min
90837 Psytx pt&/family 60 minutes
90838 Psytx pt&/fam 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 patient
90847 Family psytx w/patient
90853 Group psychotherapy
G0396 Alcohol/subs interv 15-30mn
G0397 Alcohol/subs interv >30 min
G0443 Brief alcohol misuse counsel
G0444 Depression screen annual
G2086 Off base opioid tx first m
G2087 Off base opioid tx, sub m
G2088 Off opioid tx month add 30

Media

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