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[]
[null,"LIST OF MEDICARE TELEHEALTH SERVICES "]
[]
[]
[]
[null,"Code","Short Descriptor","Status ","Can Audio-only Interaction Meet the Requirements?","Medicare Payment Limitations"]
[null,77427,"Radiation tx management x5","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,90785,"Psytx complex interactive",null,"Yes"]
[null,90791,"Psych diagnostic evaluation",null,"Yes"]
[null,90792,"Psych diag eval w/med srvcs",null,"Yes"]
[null,90832,"Psytx w pt 30 minutes",null,"Yes"]
[null,90833,"Psytx w pt w e/m 30 min",null,"Yes"]
[null,90834,"Psytx w pt 45 minutes",null,"Yes"]
[null,90836,"Psytx w pt w e/m 45 min",null,"Yes"]
[null,90837,"Psytx w pt 60 minutes",null,"Yes"]
[null,90838,"Psytx w pt w e/m 60 min",null,"Yes"]
[null,90839,"Psytx crisis initial 60 min",null,"Yes"]
[null,90840,"Psytx crisis ea addl 30 min",null,"Yes"]
[null,90845,"Psychoanalysis",null,"Yes"]
[null,90846,"Family psytx w/o pt 50 min",null,"Yes"]
[null,90847,"Family psytx w/pt 50 min",null,"Yes"]
[null,90853,"Group psychotherapy","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,90875,"Psychophysiological therapy","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20",null,"Non-covered service"]
[null,90951,"Esrd serv 4 visits p mo <2yr"]
[null,90952,"Esrd serv 2-3 vsts p mo <2yr","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,90953,"Esrd serv 1 visit p mo <2yrs","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,90954,"Esrd serv 4 vsts p mo 2-11"]
[null,90955,"Esrd srv 2-3 vsts p mo 2-11"]
[null,90956,"Esrd srv 1 visit p mo 2-11","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,90957,"Esrd srv 4 vsts p mo 12-19"]
[null,90958,"Esrd srv 2-3 vsts p mo 12-19"]
[null,90959,"Esrd serv 1 vst p mo 12-19","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,90960,"Esrd srv 4 visits p mo 20+"]
[null,90961,"Esrd srv 2-3 vsts p mo 20+"]
[null,90962,"Esrd serv 1 visit p mo 20+","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,90963,"Esrd home pt serv p mo <2yrs"]
[null,90964,"Esrd home pt serv p mo 2-11"]
[null,90965,"Esrd home pt serv p mo 12-19"]
[null,90966,"Esrd home pt serv p mo 20+"]
[null,90967,"Esrd svc pr day pt <2"]
[null,90968,"Esrd svc pr day pt 2-11"]
[null,90969,"Esrd svc pr day pt 12-19"]
[null,90970,"Esrd svc pr day pt 20+"]
[null,92002,"Eye exam new patient","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,92004,"Eye exam new patient","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,92012,"Eye exam establish patient","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,92014,"Eye exam&tx estab pt 1/>vst","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,92507,"Speech/hearing therapy","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,92508,"Speech/hearing therapy","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20","Yes"]
[null,92521,"Evaluation of speech fluency","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,92522,"Evaluate speech production","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,92523,"Speech sound lang comprehen","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,92524,"Behavral qualit analys voice","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,92601,"Cochlear implt f/up exam <7","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,92602,"Reprogram cochlear implt <7","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,92603,"Cochlear implt f/up exam 7/>","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,92604,"Reprogram cochlear implt 7/>","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,94002,"Vent mgmt inpat init day","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,94003,"Vent mgmt inpat subq day","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,94004,"Vent mgmt nf per day","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,94005,"Home vent mgmt supervision","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20",null,"Bundled code. "]
[null,94664,"Evaluate pt use of inhaler","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,96110,"Developmental screen w/score","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,96112,"Devel tst phys/qhp 1st hr","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20",null,"Non-covered service"]
[null,96113,"Devel tst phys/qhp ea addl","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,96116,"Nubhvl xm phys/qhp 1st hr",null,"Yes"]
[null,96121,"Nubhvl xm phy/qhp ea addl hr","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20","Yes"]
[null,96127,"Brief emotional/behav assmt","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20","Yes"]
[null,96130,"Psycl tst eval phys/qhp 1st","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96131,"Psycl tst eval phys/qhp ea","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96132,"Nrpsyc tst eval phys/qhp 1st","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96133,"Nrpsyc tst eval phys/qhp ea","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96136,"Psycl/nrpsyc tst phy/qhp 1st","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96137,"Psycl/nrpsyc tst phy/qhp ea","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96138,"Psycl/nrpsyc tech 1st","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96139,"Psycl/nrpsyc tst tech ea","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,96156,"Hlth bhv assmt/reassessment",null,"Yes"]
[null,96158,"Hlth bhv ivntj indiv 1st 30","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20","Yes"]
[null,96159,"Hlth bhv ivntj indiv ea addl",null,"Yes"]
[null,96160,"Pt-focused hlth risk assmt",null,"Yes"]
[null,96161,"Caregiver health risk assmt",null,"Yes"]
[null,96164,"Hlth bhv ivntj grp 1st 30",null,"Yes"]
[null,96165,"Hlth bhv ivntj grp ea addl",null,"Yes"]
[null,96167,"Hlth bhv ivntj fam 1st 30",null,"Yes"]
[null,96168,"Hlth bhv ivntj fam ea addl",null,"Yes"]
[null,96168,"Hlth bhv ivntj fam ea addl",null,"Yes"]
[null,96170,"Hlth bhv ivntj fam wo pt 1st","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20",null,"Non-covered service"]
[null,96171,"Hlth bhv ivntj fam w/o pt ea","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20",null,"Non-covered service"]
[null,97110,"Therapeutic exercises","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97112,"Neuromuscular reeducation","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97116,"Gait training therapy","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97150,"Group therapeutic procedures","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97151,"Bhv id assmt by phys/qhp","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97152,"Bhv id suprt assmt by 1 tech","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97153,"Adaptive behavior tx by tech","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97154,"Grp adapt bhv tx by tech","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97155,"Adapt behavior tx phys/qhp","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97156,"Fam adapt bhv tx gdn phy/qhp","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97157,"Mult fam adapt bhv tx gdn","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97158,"Grp adapt bhv tx by phy/qhp","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97161,"Pt eval low complex 20 min","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97162,"Pt eval mod complex 30 min","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97163,"Pt eval high complex 45 min","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97164,"Pt re-eval est plan care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97165,"Ot eval low complex 30 min","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97166,"Ot eval mod complex 45 min","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97167,"Ot eval high complex 60 min","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97168,"Ot re-eval est plan care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97530,"Therapeutic activities","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97535,"Self care mngment training","Temporary Addition for the PHE for the COVID-19 Pandemic","Yes"]
[null,97542,"Wheelchair mngment training","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,97750,"Physical performance test","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97755,"Assistive technology assess","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97760,"Orthotic mgmt&traing 1st enc","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97761,"Prosthetic traing 1st enc","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,97802,"Medical nutrition indiv in",null,"Yes"]
[null,97803,"Med nutrition indiv subseq",null,"Yes"]
[null,97804,"Medical nutrition group",null,"Yes"]
[null,99201,"Office/outpatient visit new"]
[null,99202,"Office/outpatient visit new"]
[null,99203,"Office/outpatient visit new"]
[null,99204,"Office/outpatient visit new"]
[null,99205,"Office/outpatient visit new"]
[null,99211,"Office/outpatient visit est"]
[null,99212,"Office/outpatient visit est"]
[null,99213,"Office/outpatient visit est"]
[null,99214,"Office/outpatient visit est"]
[null,99215,"Office/outpatient visit est"]
[null,99217,"Observation care discharge","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99218,"Initial observation care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99219,"Initial observation care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99220,"Initial observation care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99221,"Initial hospital care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99222,"Initial hospital care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99223,"Initial hospital care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99224,"Subsequent observation care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99225,"Subsequent observation care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99226,"Subsequent observation care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99231,"Subsequent hospital care"]
[null,99232,"Subsequent hospital care"]
[null,99233,"Subsequent hospital care"]
[null,99234,"Observ/hosp same date","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99235,"Observ/hosp same date","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99236,"Observ/hosp same date","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99238,"Hospital discharge day","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99239,"Hospital discharge day","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99281,"Emergency dept visit","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99282,"Emergency dept visit","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99283,"Emergency dept visit","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99284,"Emergency dept visit","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99285,"Emergency dept visit","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99291,"Critical care first hour","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99292,"Critical care addl 30 min","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99304,"Nursing facility care init","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99305,"Nursing facility care init","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99306,"Nursing facility care init","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99307,"Nursing fac care subseq"]
[null,99308,"Nursing fac care subseq"]
[null,99309,"Nursing fac care subseq"]
[null,99310,"Nursing fac care subseq"]
[null,99315,"Nursing fac discharge day","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99316,"Nursing fac discharge day","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99324,"Domicil/r-home visit new pat","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,99325,"Domicil/r-home visit new pat","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,99326,"Domicil/r-home visit new pat","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,99327,"Domicil/r-home visit new pat","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99328,"Domicil/r-home visit new pat","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99334,"Domicil/r-home visit est pat","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99335,"Domicil/r-home visit est pat","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99336,"Domicil/r-home visit est pat","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99337,"Domicil/r-home visit est pat","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99341,"Home visit new patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99342,"Home visit new patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99343,"Home visit new patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99344,"Home visit new patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99345,"Home visit new patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99347,"Home visit est patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99348,"Home visit est patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99349,"Home visit est patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99350,"Home visit est patient","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99354,"Prolong e&m/psyctx serv o/p",null,"Yes"]
[null,99355,"Prolong e&m/psyctx serv o/p",null,"Yes"]
[null,99356,"Prolonged service inpatient",null,"Yes"]
[null,99357,"Prolonged service inpatient",null,"Yes"]
[null,99406,"Behav chng smoking 3-10 min",null,"Yes"]
[null,99407,"Behav chng smoking > 10 min",null,"Yes"]
[null,99441,"Phone e/m phys/qhp 5-10 min","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20","Yes"]
[null,99442,"Phone e/m phys/qhp 11-20 min","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20","Yes"]
[null,99443,"Phone e/m phys/qhp 21-30 min","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20","Yes"]
[null,99468,"Neonate crit care initial","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99469,"Neonate crit care subsq","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99471,"Ped critical care initial","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99472,"Ped critical care subsq","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99473,"Self-meas bp pt educaj/train","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99475,"Ped crit care age 2-5 init","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99476,"Ped crit care age 2-5 subsq","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99477,"Init day hosp neonate care","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99478,"Ic lbw inf < 1500 gm subsq","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99479,"Ic lbw inf 1500-2500 g subsq","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99480,"Ic inf pbw 2501-5000 g subsq","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99483,"Assmt & care pln pt cog imp","Temporary Addition for the PHE for the COVID-19 Pandemic"]
[null,99495,"Trans care mgmt 14 day disch"]
[null,99496,"Trans care mgmt 7 day disch"]
[null,99497,"Advncd care plan 30 min",null,"Yes"]
[null,99498,"Advncd care plan addl 30 min",null,"Yes"]
[null," 0373T","Adapt bhv tx ea 15 min","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null," S9152","Speech therapy, re-eval","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20",null,"Not valid for Medicare purposes"]
[null,"0362T","Bhv id suprt assmt ea 15 min","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]
[null,90785,"Psytx complex interactive",null,"Yes"]
[null,"G0108","Diab manage trn  per indiv",null,"Yes"]
[null,"G0109","Diab manage trn ind/group",null,"Yes"]
[null,"G0270","Mnt subs tx for change dx",null,"Yes"]
[null,"G0296","Visit to determ ldct elig",null,"Yes"]
[null,"G0396","Alcohol/subs interv 15-30mn",null,"Yes"]
[null,"G0397","Alcohol/subs interv >30 min",null,"Yes"]
[null,"G0406","Inpt/tele follow up 15",null,"Yes"]
[null,"G0407","Inpt/tele follow up 25",null,"Yes"]
[null,"G0408","Inpt/tele follow up 35",null,"Yes"]
[null,"G0410","Grp psych partial hosp 45-50","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20",null,"Statutory exclusion"]
[null,"G0420","Ed svc ckd ind per session",null,"Yes"]
[null,"G0421","Ed svc ckd grp per session",null,"Yes"]
[null,"G0425","Inpt/ed teleconsult30",null,"Yes"]
[null,"G0426","Inpt/ed teleconsult50",null,"Yes"]
[null,"G0427","Inpt/ed teleconsult70",null,"Yes"]
[null,"G0436","Tobacco-use counsel 3-10 min",null,"Yes"]
[null,"G0437","Tobacco-use counsel>10min",null,"Yes"]
[null,"G0438","Ppps, initial visit",null,"Yes"]
[null,"G0439","Ppps, subseq visit",null,"Yes"]
[null,"G0442","Annual alcohol screen 15 min",null,"Yes"]
[null,"G0443","Brief alcohol misuse counsel",null,"Yes"]
[null,"G0444","Depression screen annual",null,"Yes"]
[null,"G0445","High inten beh couns std 30m",null,"Yes"]
[null,"G0446","Intens behave ther cardio dx",null,"Yes"]
[null,"G0447","Behavior counsel obesity 15m",null,"Yes"]
[null,"G0459","Telehealth inpt pharm mgmt",null,"Yes"]
[null,"G0506","Comp asses care plan ccm svc",null,"Yes"]
[null,"G0508","Crit care telehea consult 60"]
[null,"G0509","Crit care telehea consult 50"]
[null,"G0513","Prolong prev svcs, first 30m",null,"Yes"]
[null,"G0514","Prolong prev svcs, addl 30m",null,"Yes"]
[null,"G2086","Off base opioid tx 70min",null,"Yes"]
[null,"G2087","Off base opioid tx, 60 m",null,"Yes"]
[null,"G2088","Off base opioid tx, add30",null,"Yes"]
[null,"G9685","Acute nursing facility care","Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20"]