"LIST OF MEDICARE TELEHEALTH SERVICES for PHE for the COVID-19 pandemic effective March 1 2020-updated December 21, 2020" Code Short Descriptor Status Can Audio-only Interaction Meet the Requirements? Medicare Payment Limitations 77427 Radiation tx management x5 Temporary Addition for the PHE for the COVID-19 Pandemic 90785 Psytx complex interactive Yes 90791 Psych diagnostic evaluation Yes 90792 Psych diag eval w/med srvcs Yes 90832 Psytx w pt 30 minutes Yes 90833 Psytx w pt w e/m 30 min Yes 90834 Psytx w pt 45 minutes Yes 90836 Psytx w pt w e/m 45 min Yes 90837 Psytx w pt 60 minutes Yes 90838 Psytx w pt w e/m 60 min Yes 90839 Psytx crisis initial 60 min Yes 90840 Psytx crisis ea addl 30 min Yes 90845 Psychoanalysis Yes 90846 Family psytx w/o pt 50 min Yes 90847 Family psytx w/pt 50 min Yes 90853 Group psychotherapy Yes 90875 Psychophysiological therapy Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Non-covered service 90951 Esrd serv 4 visits p mo <2yr 90952 Esrd serv 2-3 vsts p mo <2yr Available up Through the Year in Which the PHE Ends 90953 Esrd serv 1 visit p mo <2yrs Available up Through the Year in Which the PHE Ends 90954 Esrd serv 4 vsts p mo 2-11 90955 Esrd srv 2-3 vsts p mo 2-11 90956 Esrd srv 1 visit p mo 2-11 Available up Through the Year in Which the PHE Ends 90957 Esrd srv 4 vsts p mo 12-19 90958 Esrd srv 2-3 vsts p mo 12-19 90959 Esrd serv 1 vst p mo 12-19 Available up Through the Year in Which the PHE Ends 90960 Esrd srv 4 visits p mo 20+ 90961 Esrd srv 2-3 vsts p mo 20+ 90962 Esrd serv 1 visit p mo 20+ Available up Through the Year in Which the PHE Ends 90963 Esrd home pt serv p mo <2yrs 90964 Esrd home pt serv p mo 2-11 90965 Esrd home pt serv p mo 12-19 90966 Esrd home pt serv p mo 20+ 90967 Esrd svc pr day pt <2 90968 Esrd svc pr day pt 2-11 90969 Esrd svc pr day pt 12-19 90970 Esrd svc pr day pt 20+ 92002 Eye exam new patient Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 92004 Eye exam new patient Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 92012 Eye exam establish patient Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 92014 Eye exam&tx estab pt 1/>vst Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 92507 Speech/hearing therapy Available up Through the Year in Which the PHE Ends Yes 92508 Speech/hearing therapy Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Yes 92521 Evaluation of speech fluency Available up Through the Year in Which the PHE Ends Yes 92522 Evaluate speech production Available up Through the Year in Which the PHE Ends Yes 92523 Speech sound lang comprehen Available up Through the Year in Which the PHE Ends Yes 92524 Behavral qualit analys voice Available up Through the Year in Which the PHE Ends Yes 92601 Cochlear implt f/up exam <7 Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 92602 Reprogram cochlear implt <7 Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 92603 Cochlear implt f/up exam 7/> Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 92604 Reprogram cochlear implt 7/> Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 93797 Cardiac rehab Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 93798 Cardiac rehab/monitor Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 93750 Interrogation vad in person Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 94002 Vent mgmt inpat init day Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 94003 Vent mgmt inpat subq day Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 94004 Vent mgmt nf per day Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 94005 Home vent mgmt supervision Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Bundled code. 94664 Evaluate pt use of inhaler Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 95970 Alys npgt w/o prgrmg Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 95971 Alys smpl sp/pn npgt w/prgrm Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 95972 Alys cplx sp/pn npgt w/prgrm Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 95983 Alys brn npgt prgrmg 15 min Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 95984 Alys brn npgt prgrmg addl 15 Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 96110 Developmental screen w/score Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Non-covered service 96112 Devel tst phys/qhp 1st hr Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 96113 Devel tst phys/qhp ea addl Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 96116 Nubhvl xm phys/qhp 1st hr Yes 96121 Nubhvl xm phy/qhp ea addl hr Yes 96127 Brief emotional/behav assmt Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Yes 96130 Psycl tst eval phys/qhp 1st Available up Through the Year in Which the PHE Ends Yes 96131 Psycl tst eval phys/qhp ea Available up Through the Year in Which the PHE Ends Yes 96132 Nrpsyc tst eval phys/qhp 1st Available up Through the Year in Which the PHE Ends Yes 96133 Nrpsyc tst eval phys/qhp ea Available up Through the Year in Which the PHE Ends Yes 96136 Psycl/nrpsyc tst phy/qhp 1st Available up Through the Year in Which the PHE Ends Yes 96137 Psycl/nrpsyc tst phy/qhp ea Available up Through the Year in Which the PHE Ends Yes 96138 Psycl/nrpsyc tech 1st Available up Through the Year in Which the PHE Ends Yes 96139 Psycl/nrpsyc tst tech ea Available up Through the Year in Which the PHE Ends Yes 96156 Hlth bhv assmt/reassessment Yes 96158 Hlth bhv ivntj indiv 1st 30 Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Yes 96159 Hlth bhv ivntj indiv ea addl Yes 96160 Pt-focused hlth risk assmt Yes 96161 Caregiver health risk assmt Yes 96164 Hlth bhv ivntj grp 1st 30 Yes 96165 Hlth bhv ivntj grp ea addl Yes 96167 Hlth bhv ivntj fam 1st 30 Yes 96168 Hlth bhv ivntj fam ea addl Yes 96168 Hlth bhv ivntj fam ea addl Yes 96170 Hlth bhv ivntj fam wo pt 1st Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Non-covered service 96171 Hlth bhv ivntj fam w/o pt ea Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Non-covered service 97110 Therapeutic exercises Available up Through the Year in Which the PHE Ends 97112 Neuromuscular reeducation Temporary Addition for the PHE for the COVID-19 Pandemic 97116 Gait training therapy Temporary Addition for the PHE for the COVID-19 Pandemic 97150 Group therapeutic procedures Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97151 Bhv id assmt by phys/qhp Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97152 Bhv id suprt assmt by 1 tech Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97153 Adaptive behavior tx by tech Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97154 Grp adapt bhv tx by tech Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97155 Adapt behavior tx phys/qhp Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97156 Fam adapt bhv tx gdn phy/qhp Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97157 Mult fam adapt bhv tx gdn Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97158 Grp adapt bhv tx by phy/qhp Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97161 Pt eval low complex 20 min Available up Through the Year in Which the PHE Ends 97162 Pt eval mod complex 30 min Available up Through the Year in Which the PHE Ends 97163 Pt eval high complex 45 min Available up Through the Year in Which the PHE Ends 97164 Pt re-eval est plan care Available up Through the Year in Which the PHE Ends 97165 Ot eval low complex 30 min Available up Through the Year in Which the PHE Ends 97166 Ot eval mod complex 45 min Available up Through the Year in Which the PHE Ends 97167 Ot eval high complex 60 min Available up Through the Year in Which the PHE Ends 97168 Ot re-eval est plan care Available up Through the Year in Which the PHE Ends 97530 Therapeutic activities Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97535 Self care mngment training Available up Through the Year in Which the PHE Ends Yes 97542 Wheelchair mngment training Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 97750 Physical performance test Available up Through the Year in Which the PHE Ends 97755 Assistive technology assess Available up Through the Year in Which the PHE Ends 97760 Orthotic mgmt&traing 1st enc Available up Through the Year in Which the PHE Ends 97761 Prosthetic traing 1st enc Available up Through the Year in Which the PHE Ends 97802 Medical nutrition indiv in Yes 97803 Med nutrition indiv subseq Yes 97804 Medical nutrition group Yes 99202 Office/outpatient visit new 99203 Office/outpatient visit new 99204 Office/outpatient visit new 99205 Office/outpatient visit new 99211 Office/outpatient visit est 99212 Office/outpatient visit est 99213 Office/outpatient visit est 99214 Office/outpatient visit est 99215 Office/outpatient visit est 99217 Observation care discharge Available up Through the Year in Which the PHE Ends 99218 Initial observation care Temporary Addition for the PHE for the COVID-19 Pandemic 99219 Initial observation care Temporary Addition for the PHE for the COVID-19 Pandemic 99220 Initial observation care Temporary Addition for the PHE for the COVID-19 Pandemic 99221 Initial hospital care Temporary Addition for the PHE for the COVID-19 Pandemic 99222 Initial hospital care Temporary Addition for the PHE for the COVID-19 Pandemic 99223 Initial hospital care Temporary Addition for the PHE for the COVID-19 Pandemic 99224 Subsequent observation care Available up Through the Year in Which the PHE Ends 99225 Subsequent observation care Available up Through the Year in Which the PHE Ends 99226 Subsequent observation care Available up Through the Year in Which the PHE Ends 99231 Subsequent hospital care 99232 Subsequent hospital care 99233 Subsequent hospital care 99234 Observ/hosp same date Temporary Addition for the PHE for the COVID-19 Pandemic 99235 Observ/hosp same date Temporary Addition for the PHE for the COVID-19 Pandemic 99236 Observ/hosp same date Temporary Addition for the PHE for the COVID-19 Pandemic 99238 Hospital discharge day Available up Through the Year in Which the PHE Ends 99239 Hospital discharge day Available up Through the Year in Which the PHE Ends 99281 Emergency dept visit Available up Through the Year in Which the PHE Ends 99282 Emergency dept visit Available up Through the Year in Which the PHE Ends 99283 Emergency dept visit Available up Through the Year in Which the PHE Ends 99284 Emergency dept visit Available up Through the Year in Which the PHE Ends 99285 Emergency dept visit Available up Through the Year in Which the PHE Ends 99291 Critical care first hour Available up Through the Year in Which the PHE Ends 99292 Critical care addl 30 min Available up Through the Year in Which the PHE Ends 99304 Nursing facility care init Temporary Addition for the PHE for the COVID-19 Pandemic 99305 Nursing facility care init Temporary Addition for the PHE for the COVID-19 Pandemic 99306 Nursing facility care init Temporary Addition for the PHE for the COVID-19 Pandemic 99307 Nursing fac care subseq 99308 Nursing fac care subseq 99309 Nursing fac care subseq 99310 Nursing fac care subseq 99315 Nursing fac discharge day Available up Through the Year in Which the PHE Ends 99316 Nursing fac discharge day Available up Through the Year in Which the PHE Ends 99324 Domicil/r-home visit new pat Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 99325 Domicil/r-home visit new pat Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 99326 Domicil/r-home visit new pat Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 99327 Domicil/r-home visit new pat Temporary Addition for the PHE for the COVID-19 Pandemic 99328 Domicil/r-home visit new pat Temporary Addition for the PHE for the COVID-19 Pandemic 99334 Domicil/r-home visit est pat 99335 Domicil/r-home visit est pat 99336 Domicil/r-home visit est pat Available up Through the Year in Which the PHE Ends 99337 Domicil/r-home visit est pat Available up Through the Year in Which the PHE Ends 99341 Home visit new patient Temporary Addition for the PHE for the COVID-19 Pandemic 99342 Home visit new patient Temporary Addition for the PHE for the COVID-19 Pandemic 99343 Home visit new patient Temporary Addition for the PHE for the COVID-19 Pandemic 99344 Home visit new patient Temporary Addition for the PHE for the COVID-19 Pandemic 99345 Home visit new patient Temporary Addition for the PHE for the COVID-19 Pandemic 99347 Home visit est patient 99348 Home visit est patient 99349 Home visit est patient Available up Through the Year in Which the PHE Ends 99350 Home visit est patient Available up Through the Year in Which the PHE Ends 99354 Prolong e&m/psyctx serv o/p Yes 99355 Prolong e&m/psyctx serv o/p Yes 99356 Prolonged service inpatient Yes 99357 Prolonged service inpatient Yes 99406 Behav chng smoking 3-10 min Yes 99407 Behav chng smoking > 10 min Yes 99441 Phone e/m phys/qhp 5-10 min Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Yes 99442 Phone e/m phys/qhp 11-20 min Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Yes 99443 Phone e/m phys/qhp 21-30 min Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Yes 99468 Neonate crit care initial Temporary Addition for the PHE for the COVID-19 Pandemic 99469 Neonate crit care subsq Available up Through the Year in Which the PHE Ends 99471 Ped critical care initial Temporary Addition for the PHE for the COVID-19 Pandemic 99472 Ped critical care subsq Available up Through the Year in Which the PHE Ends 99473 Self-meas bp pt educaj/train Temporary Addition for the PHE for the COVID-19 Pandemic 99475 Ped crit care age 2-5 init Temporary Addition for the PHE for the COVID-19 Pandemic 99476 Ped crit care age 2-5 subsq Available up Through the Year in Which the PHE Ends 99477 Init day hosp neonate care Temporary Addition for the PHE for the COVID-19 Pandemic 99478 Ic lbw inf < 1500 gm subsq Available up Through the Year in Which the PHE Ends 99479 Ic lbw inf 1500-2500 g subsq Available up Through the Year in Which the PHE Ends 99480 Ic inf pbw 2501-5000 g subsq Available up Through the Year in Which the PHE Ends 99483 Assmt & care pln pt cog imp 99495 Trans care mgmt 14 day disch 99496 Trans care mgmt 7 day disch 99497 Advncd care plan 30 min Yes 99498 Advncd care plan addl 30 min Yes 0373T Adapt bhv tx ea 15 min Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 S9152 "Speech therapy, re-eval" Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Not valid for Medicare purposes 0362T Bhv id suprt assmt ea 15 min Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 90785 Psytx complex interactive Yes G0108 Diab manage trn per indiv Yes G0109 Diab manage trn ind/group Yes G0270 Mnt subs tx for change dx Yes G0296 Visit to determ ldct elig Yes G0396 Alcohol/subs interv 15-30mn Yes G0397 Alcohol/subs interv >30 min Yes G0406 Inpt/tele follow up 15 Yes G0407 Inpt/tele follow up 25 Yes G0408 Inpt/tele follow up 35 Yes G0410 Grp psych partial hosp 45-50 Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 Statutory exclusion G0420 Ed svc ckd ind per session Yes G0421 Ed svc ckd grp per session Yes G0422 Intens cardiac rehab w/exerc Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 G0423 Intens cardiac rehab no exer Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 G0424 Pulmonary rehab w exer Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20 G0425 Inpt/ed teleconsult30 Yes G0426 Inpt/ed teleconsult50 Yes G0427 Inpt/ed teleconsult70 Yes G0438 "Ppps, initial visit" Yes G0439 "Ppps, subseq visit" Yes G0442 Annual alcohol screen 15 min Yes G0443 Brief alcohol misuse counsel Yes G0444 Depression screen annual Yes G0445 High inten beh couns std 30m Yes G0446 Intens behave ther cardio dx Yes G0447 Behavior counsel obesity 15m Yes G0459 Telehealth inpt pharm mgmt Yes G0506 Comp asses care plan ccm svc Yes G0508 Crit care telehea consult 60 G0509 Crit care telehea consult 50 G0513 "Prolong prev svcs, first 30m" Yes G0514 "Prolong prev svcs, addl 30m" Yes G2086 Off base opioid tx 70min Yes G2087 "Off base opioid tx, 60 m" Yes G2088 "Off base opioid tx, add30" Yes G9685 Acute nursing facility care Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20 G2211 Complex E/M visit add on Yes G2212 Prolong outpt/office vis Yes