Wiki Telehealth visits and modifier for 2025

kkiger123

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Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits as well?​

 

Hello all, for the new CPT codes for audio only telehealth visits using POS 10, do we need to use modifier 93? Do we also use modifier 93 for straight Medicare telehealth visits as well?​

Looks like Medicare will not be covering the new Telehealth code. This what I found
"The bad news is that Medicare does not plan to recognize the other 16 new telehealth codes (98000-98016) that CPT 2025 added. CMS plans to assign payment status code “I” (Not valid for Medicare purposes) to these codes. Therefore, for evaluation and management (E/M) visits performed over telehealth, you’ll continue to use the existing E/M codes, such as 99202-99215 for Medicare payers. It’s unclear which private payers – if any – do plan to recognize 98000-98016 in 2025. Most insurers will be issuing their 2025 coverage guidelines in the coming weeks." https://www.medcentral.com/coding-r...dule-targets-telehealth-advanced-primary-care
 
Hello,
Thank you for the update on the new telehealth codes, I understand that Medicare might not recognize them, but
what would have been the benefit of the new tele-health codes when practitioners can still submit a e/m visit using telehealth with the codes: 99202-99205 and 99211-99215?
 
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