Has CMS expanded its list of covered professional telehealth services?
Yes. On October 14, 2020, CMS announced it would be adding 11 additional CPT and HCPCS codes to its list of covered professional telehealth services. The codes reflect certain neurostimulator analysis and programming services, as well as cardiac and pulmonary rehabilitation services. For your convenience, we have listed the codes along with their short descriptors below.
Per a press release, CMS states it will begin paying eligible practitioners who furnish these newly added telehealth services effective immediately. As a reminder, services should be billed with modifier 95 appended to indicate that they were furnished using approved telehealth technology (technology that allows for two-way, real-time, audio and visual communication).
It is important to note, that these 11 codes are temporary additions to the list of covered telehealth services and will only be covered when furnished via telehealth for the duration of the declared Public Health Emergency (PHE). To be added permanently to the list of Medicare covered telehealth services, the codes must be evaluated through the traditional rulemaking process.
93797 – CARDIAC REHAB
93798 – CARDIAC REHAB/MONITOR
93750 – INTERROGATION VAD IN PERSON
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
G0422 – INTENS CARDIAC REHAB W/EXERC
G0423 – INTENS CARDIAC REHAB NO EXER
G0424 – PULMONARY REHAB W EXER
Complete List of CMS Covered Professional Telehealth Services: https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes