January 1, 2020
Telehealth/telemedicine services payment policy exceptions won’t be valid for claims processed April 5, 2020 and after.
These exceptions include:
These exceptions conflict with the code descriptions for the telephone assessment and management codes and the online digital evaluation and management (E&M) Services codes listed in the CPT codebook and in the payment policy. Code descriptions that will now be enforced starting in April 2020 include but are not limited to the following:
The criteria in the code description will be enforced as of process dates April 5, 2020 and after. Make sure you and your staff are familiar with the recent Payment Policy updates for the Telehealth/Telemedicine Services Payment Policy.
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