Billing for telehealth services
Learn about policies and reimbursement for telehealth services.
On this page:
Medicare
Medicare policies for telehealth continue to evolve. For the latest information, view the list of telehealth services. The following Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes are frequently used to bill for telehealth services. Coding guidance is subject to change.
| CPT/HCPCs Codes | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
| 90791 | Psychological diagnostic evaluation | Up to 90 min | Yes |
| 90792 | Psychological diagnostic evaluation with medical services | 1-2 hours | Yes |
| 90839 | Psychotherapy for crisis | 60 min | Yes |
| 90840 | Psychotherapy for crisis | Additional 30 min | Yes |
| 99281 | Emergency department visit, straightforward | N/A | No |
| 99282 | Emergency department visit, self-limited or minor | N/A | No |
| 99283 | Emergency department visit, low complexity | N/A | No |
| 99284 | Emergency department visit, moderate complexity | N/A | No |
| 99285 | Emergency department visit, high complexity | N/A | No |
| 99291 | Critical care | Up to 60 min | No |
| 99292 | Critical care, additional time | Additional 30 min | No |
| G0508 | Critical care consultation | 60 min | Yes |
| G0509 | Critical care consultation | Additional 50 min | Yes |
Medicaid
Each state has its own billing and reimbursement policies. For tips on Medicaid policies, visit Medicaid and Medicare overview.
Private insurance
Find out if the patient has private insurance. If so, check with the patient’s insurance company for information on their billing and reimbursement policies. For tips on private insurance policies, look up policy by jurisdiction.
More information:
Billing for telehealth — Health Resources and Services Administration
Medicare and Medicaid policies — Health Resources and Services Administration
Medicare payment policies — Health Resources and Services Administration
Telehealth policy — Health Resources and Services Administration
Understanding telehealth policy — National Telehealth Policy Resource Center