U.S. flag

An official website of the United States government

Pregnant patient communicates with the doctor using a tablet.

Telehealth for maternal health services

Billing for maternal telehealth

As you are preparing to launch your maternal telehealth care program, take time to fully understand your billing options.

You may need to consider extra staffing or additional training so your office is ready to seamlessly handle telehealth billing.

The COVID-19 public health emergency led the Center for Medicare and Medicaid Services (CMS) to expand its coverage for telehealth care. Many state Medicaid programs and private insurers are also covering telehealth appointments the same as an in-person appointment, with patients paying their typical co-pays.

You can also choose to offer a discounted cash pay program or private payment options for the underinsured or the uninsured. One possible way to offer discounted payment is to find stakeholders willing to partner with you. You could also explore local, state, and federal grant funding options.

Get more information on billing for direct-to-consumer telehealth.

Medicare billing guidance

The following common Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes are used to bill for services for telemedicine in maternal health, and include updates provided to the 2022 Medicare Physician Fee Schedule - PFS (PDF).

Coding guidance is subject to change. Please refer to the complete list of telehealth services covered by Medicare during the COVID-19 public health emergency from the Centers for Medicare & Medicaid Services.

Although Medicare reimburses for audio and video telehealth, audio-only reimbursement is currently covered only during the COVID-19 public health emergency.

Audio-only or video telehealth

Billing codes
Category Telehealth CPT codes and HCPCS codes

Evaluation and monitoring outpatient follow-up

99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215

Observation care discharge


Initial observation care

99218, 99219, 99220**

Initial hospital care

99221, 99222, 99223**

Subsequent observational care

99224, 99225, 99226

Subsequent hospital care

99231, 99232, 99233

Telephone evaluation and monitoring service

99441, 99442, 99443

Diabetes management


Medical nutrition therapy

97802, 97803

*Remains available until December 31, 2023

**Will expire at some point after the COVID-19 public health emergency is declared over

Read more

Medicare telemedicine health care provider fact sheet — Centers for Medicare & Medicaid Services (CMS)