Telehealth: Don’t Get Lax on Telehealth Rules

Why This Topic Matters

Telehealth communication services have rapidly changing coverage and coding rules, especially during the Public Health Emergency. Understanding the scope of the relevant CPT and HCPCS Level II guidance helps practices avoid billing errors and keep pace with Medicare policy updates.

Article Sections

1. Telehealth virtual check-ins and communication types

   Introduces the general concept of virtual check-ins and the broad communication modalities discussed in the article. It frames the difference between synchronous and asynchronous telehealth interactions at a high level.

2. Pinpoint the CPT® codes

   Reviews the CPT code family discussed for telephone-based evaluation and management services and notes the Medicare coverage context referenced in the article. It also includes discussion of payment context and related policy considerations.

3. Consider HCPCS Level II codes

   Covers the HCPCS Level II code family referenced for similar communication-based services and compares the broad service category to the CPT option. The section addresses how the article positions the HCPCS code within telehealth virtual check-in guidance.