Billing for telehealth
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
Primary care
| CPT/HCPCs code | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
98960
| Self-management, individual patient | 30 min | No |
| 98961 | Self-management training, group (2-4 individuals) | 30 min | No |
| 98962 | Self-management training, group (5-8 individuals) | 30 min | No |
| 98966 | Telephone call for assessment and management by non-physician | 5-10 min | Yes |
| 98967 | Telephone call for assessment and management by non-physician | 11-20 min | Yes |
| 98968 | Telephone call for assessment and management by non-physician | 21-30 min | Yes |
| 99202 | Outpatient visit (new patient) | 15-29 min | Yes |
| 99203 | Outpatient visit (new patient) | 30-44 min | Yes |
| 99204 | Outpatient visit (new patient) | 45-59 min | Yes |
| 99205 | Outpatient visit (new patient) | 60-74 min | Yes |
| 99211 | Outpatient visit (established patient) | 5 min | Yes |
| 99212 | Outpatient visit (established patient) | 10-19 min | Yes |
| 99213 | Outpatient visit (established patient) | 20-29 min | Yes |
| 99214 | Outpatient visit (established patient) | 30-39 min | Yes |
| 99215 | Outpatient visit (established patient) | 40-55 min | Yes |
| G0438 | Initial annual wellness visit | N/A | Yes |
| G0439 | Subsequent annual wellness visit | N/A | Yes |
| G0506 | Comprehensive assessment care plan | N/A | Yes |
| G2212 | Prolonged outpatient visit | Additional 15 min | Yes |
Disease management
| CPT/HCPCs code | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
| 96156 | Health behavior assessment | N/A | Yes |
| 96158 | Health behavior intervention | 30 min | Yes |
| 96159 | Health behavior intervention | Additional 15 min | Yes |
| 96160 | Patient-focused health risk assessment using standardized instrument | N/A | Yes |
| 96164 | Health behavior intervention, group | 30 min | Yes |
| 96165 | Health behavior intervention, group | Additional 15 min | Yes |
| 96167 | Health behavior intervention, patient with family | 30 min | Yes |
| 96168 | Health behavior intervention, patient with family | Additional 15 min | Yes |
| 96170 | Health behavior intervention, family without patient | 30 min | No |
| 96171 | Health behavior intervention, family without patient | Additional 15 min | No |
| 97802 | Medical nutrition therapy, initial assessment | 15 min | Yes |
| 97803 | Medical nutrition, re-assessment | 15 min | Yes |
| 97804 | Medical nutrition, group assessment | 30 min | Yes |
| 99453 | Remote patient monitoring (RPM) devices set up | N/A | No |
| 99454 | Monitoring data from RPM device | N/A | No |
| 99457 | Patient-provider communication related to RPM data | 20 min | No |
| 99458 | Patient-provider communication related to RPM data | Additional 20 min | No |
| G0270 | Medical nutrition therapy, reassessment, intervention | 15 min | Yes |
| G0447 | Obesity counseling | 15 min | Yes |
Cardiovascular conditions
| CPT/HCPCs code | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
| 93750 | Interrogation of ventricular assist device | N/A | No |
| 93797 | Cardiac rehabilitation, without ECG | 60 min | No |
| 93798 | Cardiac rehabilitation, with ECG | 60 min | No |
| 99473 | Self-measured blood pressure, education and training | N/A | No |
| G0422 | Intensive cardiac rehabilitation with exercise | 60 min | No |
| G0423 | Intensive cardiac rehabilitation without exercise | 60 min | No |
| G0446 | Intensive behavioral therapy for cardiovascular disease | 15 min | Yes |
Pulmonary disease
| CPT/HCPCs code | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
| 94005 | Home ventilator management supervision | N/A | No |
| 94625 | Pulmonary rehabilitation, without monitoring | 60 min | No |
| 94626 | Pulmonary rehabilitation with monitoring | 60 min | No |
| 94664 | Demonstration or evaluation of use of inhaler | N/A | No |
Diabetes
| CPT/HCPCs code | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
| G0108 | Diabetes self-management training, individual | 30 min | Yes |
| G0109 | Diabetes self-management training, group | 30 min | Yes |
Tobacco and substance use
| CPT/HCPCs code | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
| 99406 | Tobacco and smoking cessation counseling | 3-10 min | Yes |
| 99407 | Tobacco and smoking cessation counseling | 10 or more min | Yes |
| G0396 | Alcohol and substance misuse assessment | 15-30 min | Yes |
| G0397 | Alcohol and substance misuse assessment | 30 or more min | Yes |
| G0442 | Alcohol and substance misuse screening | 5-15 min | Yes |
| G0443 | Alcohol and substance misuse counseling | 5-15 min | Yes |
| G2086 | Treatment for opioid use disorder, first month | 70 or more min | Yes |
| G2087 | Treatment for opioid use disorder, subsequent months | 60 or more min | Yes |
| G2088 | Treatment for opioid use disorder | Additional 30 min | Yes |
Mental and behavioral health
| CPT/HCPCs code | Description | Time | Permanent coverage for telehealth |
|---|---|---|---|
| G0444 | Annual depression screening | 5-15 min | Yes |
| 90785 | Psychotherapy with interactive complexity | N/A | Yes |
| 90791 | Psychological diagnostic evaluation | Up to 90 min | Yes |
| 90792 | Psychological diagnostic evaluation with medical services | 1-2 hours | Yes |
| 90832 | Psychotherapy, no medical evaluation | 16-37 min | Yes |
| 90833 | Psychotherapy with medical evaluation | 30 min | Yes |
| 90834 | Psychotherapy, no medical evaluation | 38-52 min | Yes |
| 90836 | Psychotherapy with medical evaluation | 45 min | Yes |
| 90837 | Psychotherapy, no medical evaluation | 53 or more min | Yes |
| 90838 | Psychotherapy with medical evaluation | 60 min | Yes |
| 90839 | Psychotherapy for crisis | 60 min | Yes |
| 90840 | Psychotherapy for crisis | Additional 30 min | Yes |
| 90845 | Psychoanalysis | N/A | Yes |
| 90846 | Family psychotherapy without patient | 26 or more min | Yes |
| 90847 | Family psychotherapy with patient | 26 or more min | Yes |
| 90853 | Group psychotherapy | 45-60 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
Medicare for American Indians and Alaska Natives — Centers for Medicare and Medicaid Services
Medicaid and CHIP Telehealth Toolkit— Centers for Medicare and Medicaid Services
Understanding telehealth policy — National Telehealth Policy Resource Center