decisionhealth Newsletters, Part B News - 2025 Issue 8 (August)
CMS to add 5 services, delete SDOH assessment from telehealth list
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Article Overview
This article summarizes CMS’s proposed 2026 Medicare telehealth list changes under the physician fee schedule. It explains which types of services CMS plans to add, which requested services it declined, and which service is slated for removal, along with the comment period and related rulemaking context. The piece is relevant to coders, billing staff, compliance teams, and clinicians tracking telehealth coverage policy changes.
Why This Topic Matters
Telehealth coverage decisions affect what Medicare beneficiaries can receive remotely and what providers may report for reimbursement under the proposed 2026 rules. Understanding the updated list helps organizations monitor coding and billing implications before the final rule is issued.
Article Sections
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CMS accepts 5 new codes
Summarizes the categories of services CMS proposes to add to the telehealth list for 2026 and the general areas these additions cover.
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CMS plans to reject 21 suggestions, delete SDOH code
Reviews the types of telehealth requests CMS declined, the broader policy concerns behind the rejections, and the planned removal of one service from the telehealth list.
What You Will Learn
- How CMS’s proposed 2026 telehealth list changes are structured
- Which broad service categories CMS is adding or declining
- What the proposed deletion means in the context of telehealth policy updates
- How the comment period fits into the rulemaking process
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance teams
- Physician practices
- Telehealth program managers
- Healthcare administrators
Codes Discussed
Code Ranges Discussed
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