New CMS billing codes for telehealth

The Centers for Medicare and Medicaid Services (CMS) recently announced its 2018 Physicians Fee Schedule. Reimbursement for remote patient monitoring of patients with chronic disease is among the most noteworthy changes. Other highlights include the following:

  • New areas of reimbursement include counseling visits to discuss lung cancer screenings and psychotherapy for people in crisis.
  • In an attempt to decrease the administrative burden, CMS has incorporated four new add-on codes.
  • Due to last year’s new Place of Service codes (POS) most providers will no longer be required to use the GT telehealth modifier.
  • New General Care Management codes have been established for use by FQHCs and RHCs. The new codes are related to behavioral health and psychiatric services.

While this year’s additions show efforts to improve telehealth coverage, telemedicine advocacy groups like the American Telemedicine Association continue to champion telehealth expansion that would cover patients regardless of geographical location or setting.

For more information on the changes, try these resources:

ATA press release

CCHP fact sheet


Posted in Newsletter, Regulatory, Reimbursement and tagged .