DWC Retroactively Adopts 11 New Telehealth Service Codes

DWC Retroactively Adopts 11 New Telehealth Service Codes

In a Newsline dated October 27, 2020, the California Division of Workers Compensation (DWC) announced the adoption of the updated Medicare List of Telehealth Services, which includes eleven (11) new codes. The DWC’s inclusion of the eleven new telehealth services to the Official Medical Fee Schedule (OMFS) is retroactive for dates of service on and after October 14, 2020.

The Newline references the Order of the Administrative Director of the DWC, dated October 20, 2020 (Order), that conforms the Physician and Non-Physician Practitioner Services section of the OMFS to recent Medicare fee schedule changes; we covered those Medicare revisions in last week’s article, Telehealth: CMS Medicare Adds 11 New Telehealth Services. 

The Order is incorporated by reference into California Code of Regulations section 9789.19 (g) and states that “...adopting the Medicare Physician Fee Schedule October 14, 2020 expanded telehealth list will support the goal of reducing the spread of the SARS CoV-2 while increasing access to workers’ compensation medical treatment provided via telehealth.”

Telehealth Services Added Effective 10/14/2020

To help practices bill for these newly-added services, the table below sets out the short descriptors and status for each telehealth procedure code. For DaisyBillers, we have already updated the fee schedules in DaisyWizard.

Billing Tip

California providers are reminded that when billing services provided via telehealth:

Procedure Code

Short Descriptor

Status

Adopted by CA DWC?

93797

Cardiac rehab

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

93798

Cardiac rehab/monitor

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

93750

Interrogation vad in person

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

95970

Alys npgt w/o prgrmg

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

95971

Alys smpl sp/pn npgt w/prgrm

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

95972

Alys cplx sp/pn npgt w/prgrm

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

95983

Alys brn npgt prgrmg 15 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

95984

Alys brn npgt prgrmg addl 15

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

G0422

Intens cardiac rehab w/exerc

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

G0423

Intens cardiac rehab no exer

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes

G0424

Pulmonary rehab w exer

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20

Yes


For more on telehealth rules for Medicare, California health insurers, and California workers’ compensation, look through the free resources available on our COVID-19 page.

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