Telehealth: Master Telemedicine with New Options from CMS

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

Article Overview

This article reviews telehealth and telemedicine reporting changes tied to CMS guidance and the 2017 Medicare Physician Fee Schedule, with emphasis on CPT telemedicine reporting, place-of-service coding, and related modifier use. It is aimed at coders, billers, compliance staff, and clinicians who need a current high-level understanding of telehealth claim submission issues across Medicare, MAC, and Medicaid environments.

Why This Topic Matters

Telehealth reporting depends on current payer policy, correct claim setup, and awareness of telemedicine-specific Medicare guidance. This article helps readers understand which parts of the telehealth landscape changed, what broad coding categories are involved, and why local payer rules still matter.

What You Will Learn

  • How CMS has updated telehealth guidance and options
  • How telemedicine is addressed in the 2017 Medicare Physician Fee Schedule context
  • How telehealth services are represented in CPT and related claim fields
  • Why payer-specific telehealth policy and state Medicaid guidance matter

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Compliance professionals
  • Physicians and practice managers

Codes Discussed

  • CPT: 90967-90970
  • CPT: 99497-99498
  • HCPCS Level II: G0508-G0509
  • CMS POS: 02

Code Ranges Discussed

  • CPT: 90967-90970
  • CPT: 99497-99498
  • HCPCS Level II: G0508-G0509

Modifiers Discussed

  • CPT: 95
  • HCPCS Level II: GT
  • HCPCS Level II: GQ

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