Coding and billing for telemedicine services during COVID-19

April 21st, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article covers how CMS and Medicare policy changes during the COVID-19 public health emergency affected telemedicine access, billing, and documentation. It is aimed at coders, billers, clinicians, and compliance staff who need a high-level understanding of telehealth-related reporting requirements, service categories, and time-based digital communication options discussed under the interim final rule and related guidance.

Why This Topic Matters

Telemedicine policies changed rapidly during the COVID-19 emergency, affecting which services could be billed, how they were documented, and what settings and communication methods were permitted. Understanding the scope of these updates helps practices align telehealth reporting with current Medicare and CMS guidance.

Article Sections

  1. COVID-19 telemedicine policy background

    Introduces the CMS and HHS policy changes tied to the public health emergency and explains the broad purpose of the interim final rule. This section frames the article’s focus on expanded access and reporting considerations.

  2. CPT coding for telemedicine during COVID-19

    Summarizes the general impact of the rule on reimbursement and reporting for telemedicine services. It also introduces the main virtual service categories discussed later in the article.

  3. Telehealth visits

    Covers Medicare telehealth visit policy, documentation topics, and the general reporting approach for these encounters. This section also addresses setting, patient status, and communication platform considerations at a broad level.

  4. Virtual check-ins

    Describes brief patient-provider interactions conducted remotely and how they fit into the article’s broader telemedicine discussion. It explains the section’s focus on reporting category distinctions and documentation context.

  5. E-visits involving office and hospital consultations

    Reviews patient-initiated online communication services and their place in the telemedicine billing landscape. The section also notes the involvement of other qualified professionals and references further guidance sources.

What You Will Learn

  • How CMS expanded telemedicine access during the COVID-19 public health emergency
  • What broad types of virtual services are discussed in the article
  • How the article frames Medicare reporting and documentation considerations for telehealth
  • How virtual check-ins and e-visits are distinguished at a high level
  • Which organizations and policy authorities are referenced in the telemedicine guidance

Who Should Read This

  • Medical coders
  • Medical billers
  • Compliance staff
  • Physicians and other clinicians
  • Revenue cycle staff
  • Practice managers

Codes Discussed

  • CPT: 99214
  • CPT: 99421
  • CPT: 99422
  • CPT: 99423
  • HCPCS Level II: G0508
  • HCPCS Level II: G0509
  • HCPCS Level II: G2010
  • HCPCS Level II: G2012
  • HCPCS Level II: G2061
  • HCPCS Level II: G2062
  • HCPCS Level II: G2063

Code Ranges Discussed

  • CPT: 99231-99233
  • CPT: 99307-99310
  • CPT: 99201-99205
  • CPT: 99211-99215

Modifiers Discussed

  • CPT: -95

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