"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		
