		LIST OF MEDICARE TELEHEALTH SERVICES - NPRM 2021				
Code	Short Descriptor	Status *	Can Audio-only Interaction Meet the Requirements?	Medicare Payment Limitations	Proposed Permanent Addition for CY 2021	Proposed Temporary Addition for CY 2021
77427	Radiation tx management x5	Temporary Addition 				
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	Temporary Addition	Yes		Yes	
90875	Psychophysiological therapy	Temporary Addition?Added 4/30/20		Non-covered service		
90951	Esrd serv 4 visits p mo <2yr					
90952	Esrd serv 2-3 vsts p mo <2yr	Temporary Addition 				
90953	Esrd serv 1 visit p mo <2yrs	Temporary Addition 				
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	Temporary Addition ?Added 4/30/20				
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	Temporary Addition 				
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+	Temporary Addition 				
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?Added 4/30/20				
92004	Eye exam new patient	Temporary Addition?Added 4/30/20				
92012	Eye exam establish patient	Temporary Addition?Added 4/30/20				
92014	Eye exam&tx estab pt 1/>vst	Temporary Addition?Added 4/30/20				
92507	Speech/hearing therapy	Temporary Addition	Yes			
92508	Speech/hearing therapy	Temporary Addition?Added 4/30/20	Yes			
92521	Evaluation of speech fluency	Temporary Addition	Yes			
92522	Evaluate speech production	Temporary Addition	Yes			
92523	Speech sound lang comprehen	Temporary Addition	Yes			
92524	Behavral qualit analys voice	Temporary Addition	Yes			
92601	Cochlear implt f/up exam <7	Temporary Addition?Added 4/30/20				
92602	Reprogram cochlear implt <7	Temporary Addition?Added 4/30/20				
92603	Cochlear implt f/up exam 7/>	Temporary Addition?Added 4/30/20				
92604	Reprogram cochlear implt 7/>	Temporary Addition?Added 4/30/20				
94002	Vent mgmt inpat init day	Temporary Addition?Added 4/30/20				
94003	Vent mgmt inpat subq day	Temporary Addition?Added 4/30/20				
94004	Vent mgmt nf per day	Temporary Addition?Added 4/30/20				
94005	Home vent mgmt supervision	Temporary Addition?Added 4/30/20		Bundled code. 		
94664	Evaluate pt use of inhaler	Temporary Addition?Added 4/30/20				
96110	Developmental screen w/score	Temporary Addition?Added 4/30/20				
96112	Devel tst phys/qhp 1st hr	Temporary Addition?Added 4/30/20		Non-covered service		
96113	Devel tst phys/qhp ea addl	Temporary Addition?Added 4/30/20				
96116	Nubhvl xm phys/qhp 1st hr		Yes			
96121	Nubhvl xm phy/qhp ea addl hr	Temporary Addition?Added 4/30/20	Yes		Yes	
96127	Brief emotional/behav assmt	Temporary Addition?Added 4/30/20	Yes			
96130	Psycl tst eval phys/qhp 1st	Temporary Addition	Yes			Yes
96131	Psycl tst eval phys/qhp ea	Temporary Addition	Yes			Yes
96132	Nrpsyc tst eval phys/qhp 1st	Temporary Addition	Yes			Yes
96133	Nrpsyc tst eval phys/qhp ea	Temporary Addition	Yes			Yes
96136	Psycl/nrpsyc tst phy/qhp 1st	Temporary Addition	Yes			
96137	Psycl/nrpsyc tst phy/qhp ea	Temporary Addition	Yes			
96138	Psycl/nrpsyc tech 1st	Temporary Addition	Yes			
96139	Psycl/nrpsyc tst tech ea	Temporary Addition	Yes			
96156	Hlth bhv assmt/reassessment		Yes			
96158	Hlth bhv ivntj indiv 1st 30	Temporary Addition?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?Added 4/30/20		Non-covered service		
96171	Hlth bhv ivntj fam w/o pt ea	Temporary Addition?Added 4/30/20		Non-covered service		
97110	Therapeutic exercises	Temporary Addition				
97112	Neuromuscular reeducation	Temporary Addition				
97116	Gait training therapy	Temporary Addition				
97150	Group therapeutic procedures	Temporary Addition?Added 4/30/20				
97151	Bhv id assmt by phys/qhp	Temporary Addition?Added 4/30/20				
97152	Bhv id suprt assmt by 1 tech	Temporary Addition?Added 4/30/20				
97153	Adaptive behavior tx by tech	Temporary Addition?Added 4/30/20				
97154	Grp adapt bhv tx by tech	Temporary Addition?Added 4/30/20				
97155	Adapt behavior tx phys/qhp	Temporary Addition?Added 4/30/20				
97156	Fam adapt bhv tx gdn phy/qhp	Temporary Addition?Added 4/30/20				
97157	Mult fam adapt bhv tx gdn	Temporary Addition?Added 4/30/20				
97158	Grp adapt bhv tx by phy/qhp	Temporary Addition?Added 4/30/20				
97161	Pt eval low complex 20 min	Temporary Addition				
97162	Pt eval mod complex 30 min	Temporary Addition				
97163	Pt eval high complex 45 min	Temporary Addition				
97164	Pt re-eval est plan care	Temporary Addition				
97165	Ot eval low complex 30 min	Temporary Addition				
97166	Ot eval mod complex 45 min	Temporary Addition				
97167	Ot eval high complex 60 min	Temporary Addition				
97168	Ot re-eval est plan care	Temporary Addition				
97530	Therapeutic activities	Temporary Addition?Added 4/30/20				
97535	Self care mngment training	Temporary Addition	Yes			
97542	Wheelchair mngment training	Temporary Addition?Added 4/30/20				
97750	Physical performance test	Temporary Addition				
97755	Assistive technology assess	Temporary Addition				
97760	Orthotic mgmt&traing 1st enc	Temporary Addition				
97761	Prosthetic traing 1st enc	Temporary Addition				
97802	Medical nutrition indiv in		Yes			
97803	Med nutrition indiv subseq		Yes			
97804	Medical nutrition group		Yes			
99201	Office/outpatient visit new					
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	Temporary Addition				
99218	Initial observation care	Temporary Addition				
99219	Initial observation care	Temporary Addition				
99220	Initial observation care	Temporary Addition				
99221	Initial hospital care	Temporary Addition				
99222	Initial hospital care	Temporary Addition				
99223	Initial hospital care	Temporary Addition				
99224	Subsequent observation care	Temporary Addition				
99225	Subsequent observation care	Temporary Addition				
99226	Subsequent observation care	Temporary Addition				
99231	Subsequent hospital care					
99232	Subsequent hospital care					
99233	Subsequent hospital care					
99234	Observ/hosp same date	Temporary Addition				
99235	Observ/hosp same date	Temporary Addition				
99236	Observ/hosp same date	Temporary Addition				
99238	Hospital discharge day	Temporary Addition				
99239	Hospital discharge day	Temporary Addition				
99281	Emergency dept visit	Temporary Addition				Yes
99282	Emergency dept visit	Temporary Addition				Yes
99283	Emergency dept visit	Temporary Addition				Yes
99284	Emergency dept visit	Temporary Addition				
99285	Emergency dept visit	Temporary Addition				
99291	Critical care first hour	Temporary Addition				
99292	Critical care addl 30 min	Temporary Addition				
99304	Nursing facility care init	Temporary Addition				
99305	Nursing facility care init	Temporary Addition				
99306	Nursing facility care init	Temporary Addition				
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	Temporary Addition				Yes
99316	Nursing fac discharge day	Temporary Addition				Yes
99324	Domicil/r-home visit new pat	Temporary Addition?Added 4/30/20				
99325	Domicil/r-home visit new pat	Temporary Addition?Added 4/30/20				
99326	Domicil/r-home visit new pat	Temporary Addition?Added 4/30/20				
99327	Domicil/r-home visit new pat	Temporary Addition				
99328	Domicil/r-home visit new pat	Temporary Addition				
99334	Domicil/r-home visit est pat	Temporary Addition			Yes	
99335	Domicil/r-home visit est pat	Temporary Addition			Yes	
99336	Domicil/r-home visit est pat	Temporary Addition				Yes
99337	Domicil/r-home visit est pat	Temporary Addition				Yes
99341	Home visit new patient	Temporary Addition				
99342	Home visit new patient	Temporary Addition				
99343	Home visit new patient	Temporary Addition				
99344	Home visit new patient	Temporary Addition				
99345	Home visit new patient	Temporary Addition				
99347	Home visit est patient	Temporary Addition			Yes	
99348	Home visit est patient	Temporary Addition			Yes	
99349	Home visit est patient	Temporary Addition				Yes
99350	Home visit est patient	Temporary Addition				Yes
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?Added 4/30/20	Yes			
99442	Phone e/m phys/qhp 11-20 min	Temporary Addition?Added 4/30/20	Yes			
99443	Phone e/m phys/qhp 21-30 min	Temporary Addition?Added 4/30/20	Yes			
99468	Neonate crit care initial	Temporary Addition				
99469	Neonate crit care subsq	Temporary Addition				
99471	Ped critical care initial	Temporary Addition				
99472	Ped critical care subsq	Temporary Addition				
99473	Self-meas bp pt educaj/train	Temporary Addition				
99475	Ped crit care age 2-5 init	Temporary Addition				
99476	Ped crit care age 2-5 subsq	Temporary Addition				
99477	Init day hosp neonate care	Temporary Addition				
99478	Ic lbw inf < 1500 gm subsq	Temporary Addition				
99479	Ic lbw inf 1500-2500 g subsq	Temporary Addition				
99480	Ic inf pbw 2501-5000 g subsq	Temporary Addition				
99483	Assmt & care pln pt cog imp	Temporary Addition			Yes	
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			
99XXX	prolng off/op e/m ea 15 min				Yes	
0373T	Adapt bhv tx ea 15 min	Temporary Addition?Added 4/30/20				
S9152	"Speech therapy, re-eval"	Temporary Addition?Added 4/30/20		Not valid for Medicare purposes		
0362T	Bhv id suprt assmt ea 15 min	Temporary Addition?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?Added 4/30/20		Statutory exclusion		
G0420	Ed svc ckd ind per session		Yes			
G0421	Ed svc ckd grp per session		Yes			
G0425	Inpt/ed teleconsult30		Yes			
G0426	Inpt/ed teleconsult50		Yes			
G0427	Inpt/ed teleconsult70		Yes			
G0436	Tobacco-use counsel 3-10 min		Yes			
G0437	Tobacco-use counsel>10min		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?Added 4/30/20			Yes	
GPC1X					Yes	
						
						
						
* Temporary Addition						
