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2021 Telehealth Billing Guide for CA Workers' Comp

2021 Telehealth Billing Guide for CA Workers' Comp

With COVID-19 hardly in the rearview mirror just yet, California workers’ comp providers can still utilize telehealth as a safer alternative to in-person treatment. But of course, the billing aspect can present a few complications.

Don’t worry, though — DaisyBill is here for you.

A recent order from the Division of Workers’ Compensation (DWC) adopts an updated list of approved telehealth services, as designated by the Centers for Medicare and Medicaid Services (CMS).

Below, we offer a guide to the list, as well as a few important facts regarding telehealth for California workers’ comp.

CA Workers’ Comp Telehealth: 10 Important Rules

Below are a few basic, crucial facts about telehealth in California workers’ comp:

1. Providers need to review their malpractice insurance. In some cases, existing policies may not be sufficient to protect your practice following the expansion of telehealth services. Review your policy, and make sure you’re covered for telehealth!

2. California workers’ comp rules for telehealth mirror CMS rules. In other words: any medical service that Medicare designates as permissible to deliver via telehealth is also permissible to deliver via telehealth in California workers’ comp.

3. Telehealth is not a type of medical treatment; telehealth is a means of delivering medical treatment. The use of telehealth to deliver medical services has no bearing on employer authorization or utilization review (UR). If the employer’s UR deems a given treatment medically necessary and appropriate, the treatment remains necessary and appropriate regardless of the delivery method.

4. For telehealth bills, the Place of Service (POS) that is reported on the bill reflects the place of service where the treatment would normally take place. A bill for medical treatment furnished via telehealth reports the same Place of Service as if the provider furnished the service in person, e.g., in an office, outpatient clinic, urgent care center, etc. — even if you’re treating from your own living room.

5. Providers report the same billing codes, regardless of whether treatment was delivered via telehealth. For telehealth services, providers use the established CPT or HCPCS code that identifies a given treatment or service. 

6. Modifier 95 identifies the service as delivered via telehealth. For telehealth bills, report the established CPT or HCPCS code that identifies a given treatment or service, and add modifier - 95.

7. It is permissible to deliver certain medical services and treatments using audio-only technology, like the telephone. CMS defines telehealth as “using an interactive 2-way telecommunications system (like real-time audio and video).” However, Medicare designates the medical treatment and services (listed below) for which audio-only communication is a qualified method of telehealth delivery.

8. If Audio-only is not permissible, CMS requires a provider to furnish the telehealth using video-enabled technology. In most cases, the provider must utilize a live, real-time 2-way video connection with the patient (e.g. Skype) to compliantly deliver services via telehealth. Important: the video communication must not be public-facing, e.g. TikTok.

9. Reimbursement for telehealth services is the same as reimbursement for furnishing the services in person. Again, telehealth is a means of delivery, not a service. All medical services authorized by the employer are paid at the established OMFS rates, regardless of whether the services are delivered via telehealth.

10. The DWC alone determines California workers’ comp telehealth policy. Unfortunately, we’ve seen certain claims administrators attempt to bully providers into adhering to arbitrary telehealth requirements. Let’s be clear: while California chooses to take certain cues from CMS, no entity other than the DWC may dictate telehealth policy for California workers’ comp.

Telehealth Services List

The table below lists all the procedure codes (CPT/HCPCS) providers may deliver via telehealth for California workers’ comp. This list includes the most recent addition per the latest DWC update order, CPT 92588 for evoked auditory tests.

For each service, the table provides:

  • Procedure code
  • Brief service description
  • Status as to how long the service may be delivered via telehealth: “Temporary Additions” have no established end date, while other services may be delivered via telehealth through the final year of the declared CMS Public Health Emergency. (Note that for some billing codes, CMS does not list any specific status.)
  • Audio-only status: Providers may deliver services marked “Yes” via two-way, real-time audio-only technology, such as a landline telephone. Services marked “No” must be delivered via real-time, two-way video and audio connection.

Services Deliverable via Telehealth in CA Workers’ Compensation

Procedure Code

Descriptor

Status

Audio-Only Permissible?

77427

Radiation tx management x5

Temporary Addition for the PHE for the COVID-19 Pandemic

No

90785

Psytx complex interactive

Yes

90791

Psych diagnostic evaluation

Yes

90792

Psych diag eval w/med srvcs

Yes

90832

Psytx w pt 30 minutes

Yes

90833

Psytx w pt w e/m 30 min

Yes

90834

Psytx w pt 45 minutes

Yes

90836

Psytx w pt w e/m 45 min

Yes

90837

Psytx w pt 60 minutes

Yes

90838

Psytx w pt w e/m 60 min

Yes

90839

Psytx crisis initial 60 min

Yes

90840

Psytx crisis ea addl 30 min

Yes

90845

Psychoanalysis

Yes

90846

Family psytx w/o pt 50 min

Yes

90847

Family psytx w/pt 50 min

Yes

90853

Group psychotherapy

Yes

90875

Psychophysiological therapy

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

90951

Esrd serv 4 visits p mo <2yr

No

90952

Esrd serv 2-3 vsts p mo <2yr

No

90953

Esrd serv 1 visit p mo <2yrs

Available up Through the Year in Which the PHE Ends

No

90954

Esrd serv 4 vsts p mo 2-11

No

90955

Esrd srv 2-3 vsts p mo 2-11

No

90956

Esrd srv 1 visit p mo 2-11

Available up Through the Year in Which the PHE Ends

No

90957

Esrd srv 4 vsts p mo 12-19

No

90958

Esrd srv 2-3 vsts p mo 12-19

No

90959

Esrd serv 1 vst p mo 12-19

Available up Through the Year in Which the PHE Ends

No

90960

Esrd srv 4 visits p mo 20+

No

90961

Esrd srv 2-3 vsts p mo 20+

No

90962

Esrd serv 1 visit p mo 20+

Available up Through the Year in Which the PHE Ends

No

90963

Esrd home pt serv p mo <2yrs

No

90964

Esrd home pt serv p mo 2-11

No

90965

Esrd home pt serv p mo 12-19

No

90966

Esrd home pt serv p mo 20+

No

90967

Esrd svc pr day pt <2

No

90968

Esrd svc pr day pt 2-11

No

90969

Esrd svc pr day pt 12-19

No

90970

Esrd svc pr day pt 20+

No

92002

Eye exam new patient

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92004

Eye exam new patient

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92012

Eye exam establish patient

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92014

Eye exam&tx estab pt 1/>vst

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92507

Speech/hearing therapy

Available up Through the Year in Which the PHE Ends

Yes

92508

Speech/hearing therapy

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

Yes

92521

Evaluation of speech fluency

Available up Through the Year in Which the PHE Ends

Yes

92522

Evaluate speech production

Available up Through the Year in Which the PHE Ends

Yes

92523

Speech sound lang comprehen

Available up Through the Year in Which the PHE Ends

Yes

92524

Behavral qualit analys voice

Available up Through the Year in Which the PHE Ends

Yes

92526

Oral function therapy

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92550

Tympanometry & reflex thresh

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92552

Pure tone audiometry air

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92553

Audiometry air & bone

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92555

Speech threshold audiometry

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92556

Speech audiometry complete

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92557

Comprehensive hearing test

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92563

Tone decay hearing test

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92565

Stenger test pure tone

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92567

Tympanometry

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92568

Acoustic refl threshold tst

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92570

Acoustic immitance testing

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92587

Evoked auditory test limited

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92588

Evoked auditory tst complete

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 5/10/21

No

92601

Cochlear implt f/up exam <7

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92602

Reprogram cochlear implt <7

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92603

Cochlear implt f/up exam 7/>

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92604

Reprogram cochlear implt 7/>

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

92607

Ex for speech device rx 1hr

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92608

Ex for speech device rx addl

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92609

Use of speech device service

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92610

Evaluate swallowing function

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92625

Tinnitus assessment

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92626

Eval aud funcj 1st hour

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

92627

Eval aud funcj ea addl 15

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

93750

Interrogation vad in person

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

No

93797

Cardiac rehab

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

No

93798

Cardiac rehab/monitor

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

No

94002

Vent mgmt inpat init day

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

94003

Vent mgmt inpat subq day

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

94004

Vent mgmt nf per day

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

94005

Home vent mgmt supervision

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

94664

Evaluate pt use of inhaler

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

95970

Alys npgt w/o prgrmg

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

No

95971

Alys smpl sp/pn npgt w/prgrm

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

No

95972

Alys cplx sp/pn npgt w/prgrm

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

No

95983

Alys brn npgt prgrmg 15 min

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

No

95984

Alys brn npgt prgrmg addl 15

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

No

96105

Assessment of aphasia

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

96110

Developmental screen w/score

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

96112

Devel tst phys/qhp 1st hr

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

96113

Devel tst phys/qhp ea addl

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

96116

Nubhvl xm phys/qhp 1st hr

Yes

96121

Nubhvl xm phy/qhp ea addl hr

Yes

96125

Cognitive test by hc pro

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

96127

Brief emotional/behav assmt

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

Yes

96130

Psycl tst eval phys/qhp 1st

Available up Through the Year in Which the PHE Ends

Yes

96131

Psycl tst eval phys/qhp ea

Available up Through the Year in Which the PHE Ends

Yes

96132

Nrpsyc tst eval phys/qhp 1st

Available up Through the Year in Which the PHE Ends

Yes

96133

Nrpsyc tst eval phys/qhp ea

Available up Through the Year in Which the PHE Ends

Yes

96136

Psycl/nrpsyc tst phy/qhp 1st

Available up Through the Year in Which the PHE Ends

Yes

96137

Psycl/nrpsyc tst phy/qhp ea

Available up Through the Year in Which the PHE Ends

Yes

96138

Psycl/nrpsyc tech 1st

Available up Through the Year in Which the PHE Ends

Yes

96139

Psycl/nrpsyc tst tech ea

Available up Through the Year in Which the PHE Ends

Yes

96156

Hlth bhv assmt/reassessment

Yes

96158

Hlth bhv ivntj indiv 1st 30

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

Yes

96159

Hlth bhv ivntj indiv ea addl

Yes

96160

Pt-focused hlth risk assmt

Yes

96161

Caregiver health risk assmt

Yes

96164

Hlth bhv ivntj grp 1st 30

Yes

96165

Hlth bhv ivntj grp ea addl

Yes

96167

Hlth bhv ivntj fam 1st 30

Yes

96168

Hlth bhv ivntj fam ea addl

Yes

96170

Hlth bhv ivntj fam wo pt 1st

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

96171

Hlth bhv ivntj fam w/o pt ea

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97110

Therapeutic exercises

Available up Through the Year in Which the PHE Ends

No

97112

Neuromuscular reeducation

Available up Through the Year in Which the PHE Ends

No

97116

Gait training therapy

Available up Through the Year in Which the PHE Ends

No

97129

Ther ivntj 1st 15 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

97130

Ther ivntj ea addl 15 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 3/30/21

No

97150

Group therapeutic procedures

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97151

Bhv id assmt by phys/qhp

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97152

Bhv id suprt assmt by 1 tech

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97153

Adaptive behavior tx by tech

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97154

Grp adapt bhv tx by tech

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97155

Adapt behavior tx phys/qhp

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97156

Fam adapt bhv tx gdn phy/qhp

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97157

Mult fam adapt bhv tx gdn

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97158

Grp adapt bhv tx by phy/qhp

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97161

Pt eval low complex 20 min

Available up Through the Year in Which the PHE Ends

No

97162

Pt eval mod complex 30 min

Available up Through the Year in Which the PHE Ends

No

97163

Pt eval high complex 45 min

Available up Through the Year in Which the PHE Ends

No

97164

Pt re-eval est plan care

Available up Through the Year in Which the PHE Ends

No

97165

Ot eval low complex 30 min

Available up Through the Year in Which the PHE Ends

No

97166

Ot eval mod complex 45 min

Available up Through the Year in Which the PHE Ends

No

97167

Ot eval high complex 60 min

Available up Through the Year in Which the PHE Ends

No

97168

Ot re-eval est plan care

Available up Through the Year in Which the PHE Ends

No

97530

Therapeutic activities

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97535

Self care mngment training

Available up Through the Year in Which the PHE Ends

Yes

97542

Wheelchair mngment training

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

97750

Physical performance test

Available up Through the Year in Which the PHE Ends

No

97755

Assistive technology assess

Available up Through the Year in Which the PHE Ends

No

97760

Orthotic mgmt&traing 1st enc

Available up Through the Year in Which the PHE Ends

No

97761

Prosthetic traing 1st enc

Available up Through the Year in Which the PHE Ends

No

97802

Medical nutrition indiv in

Yes

97803

Med nutrition indiv subseq

Yes

97804

Medical nutrition group

Yes

99202

Office/outpatient visit new

No

99203

Office/outpatient visit new

No

99204

Office/outpatient visit new

No

99205

Office/outpatient visit new

No

99211

Office/outpatient visit est

No

99212

Office/outpatient visit est

No

99213

Office/outpatient visit est

No

99214

Office/outpatient visit est

No

99215

Office/outpatient visit est

No

99217

Observation care discharge

Available up Through the Year in Which the PHE Ends

No

99218

Initial observation care

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99219

Initial observation care

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99220

Initial observation care

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99221

Initial hospital care

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99222

Initial hospital care

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99223

Initial hospital care

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99224

Subsequent observation care

Available up Through the Year in Which the PHE Ends

No

99225

Subsequent observation care

Available up Through the Year in Which the PHE Ends

No

99226

Subsequent observation care

Available up Through the Year in Which the PHE Ends

No

99231

Subsequent hospital care

No

99232

Subsequent hospital care

No

99233

Subsequent hospital care

No

99234

Observ/hosp same date

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99235

Observ/hosp same date

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99236

Observ/hosp same date

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99238

Hospital discharge day

Available up Through the Year in Which the PHE Ends

No

99239

Hospital discharge day

Available up Through the Year in Which the PHE Ends

No

99281

Emergency dept visit

Available up Through the Year in Which the PHE Ends

No

99282

Emergency dept visit

Available up Through the Year in Which the PHE Ends

No

99283

Emergency dept visit

Available up Through the Year in Which the PHE Ends

No

99284

Emergency dept visit

Available up Through the Year in Which the PHE Ends

No

99285

Emergency dept visit

Available up Through the Year in Which the PHE Ends

No

99291

Critical care first hour

Available up Through the Year in Which the PHE Ends

No

99292

Critical care addl 30 min

Available up Through the Year in Which the PHE Ends

No

99304

Nursing facility care init

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99305

Nursing facility care init

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99306

Nursing facility care init

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99307

Nursing fac care subseq

No

99308

Nursing fac care subseq

No

99309

Nursing fac care subseq

No

99310

Nursing fac care subseq

No

99315

Nursing fac discharge day

Available up Through the Year in Which the PHE Ends

No

99316

Nursing fac discharge day

Available up Through the Year in Which the PHE Ends

No

99324

Domicil/r-home visit new pat

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

99325

Domicil/r-home visit new pat

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

99326

Domicil/r-home visit new pat

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

99327

Domicil/r-home visit new pat

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99328

Domicil/r-home visit new pat

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99334

Domicil/r-home visit est pat

No

99335

Domicil/r-home visit est pat

No

99336

Domicil/r-home visit est pat

Available up Through the Year in Which the PHE Ends

No

99337

Domicil/r-home visit est pat

Available up Through the Year in Which the PHE Ends

No

99341

Home visit new patient

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99342

Home visit new patient

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99343

Home visit new patient

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99344

Home visit new patient

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99345

Home visit new patient

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99347

Home visit est patient

No

99348

Home visit est patient

No

99349

Home visit est patient

Available up Through the Year in Which the PHE Ends

No

99350

Home visit est patient

Available up Through the Year in Which the PHE Ends

No

99354

Prolong e&m/psyctx serv o/p

Yes

99355

Prolong e&m/psyctx serv o/p

Yes

99356

Prolonged service inpatient

Yes

99357

Prolonged service inpatient

Yes

99406

Behav chng smoking 3-10 min

Yes

99407

Behav chng smoking > 10 min

Yes

99441

Phone e/m phys/qhp 5-10 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

Yes

99442

Phone e/m phys/qhp 11-20 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

Yes

99443

Phone e/m phys/qhp 21-30 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

Yes

99468

Neonate crit care initial

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99469

Neonate crit care subsq

Available up Through the Year in Which the PHE Ends

No

99471

Ped critical care initial

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99472

Ped critical care subsq

Available up Through the Year in Which the PHE Ends

No

99473

Self-meas bp pt educaj/train

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99475

Ped crit care age 2-5 init

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99476

Ped crit care age 2-5 subsq

Available up Through the Year in Which the PHE Ends

No

99477

Init day hosp neonate care

Temporary Addition for the PHE for the COVID-19 Pandemic

No

99478

Ic lbw inf < 1500 gm subsq

Available up Through the Year in Which the PHE Ends

No

99479

Ic lbw inf 1500-2500 g subsq

Available up Through the Year in Which the PHE Ends

No

99480

Ic inf pbw 2501-5000 g subsq

Available up Through the Year in Which the PHE Ends

No

99483

Assmt & care pln pt cog imp

No

99495

Trans care mgmt 14 day disch

No

99496

Trans care mgmt 7 day disch

No

99497

Advncd care plan 30 min

Yes

99498

Advncd care plan addl 30 min

Yes

0373T

Adapt bhv tx ea 15 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

S9152

Speech therapy, re-eval

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

0362T

Bhv id suprt assmt ea 15 min

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

G0108

Diab manage trn per indiv

Yes

G0109

Diab manage trn ind/group

Yes

G0270

Mnt subs tx for change dx

Yes

G0296

Visit to determ ldct elig

Yes

G0396

Alcohol/subs interv 15-30mn

Yes

G0397

Alcohol/subs interv >30 min

Yes

G0406

Inpt/tele follow up 15

Yes

G0407

Inpt/tele follow up 25

Yes

G0408

Inpt/tele follow up 35

Yes

G0410

Grp psych partial hosp 45-50

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

G0420

Ed svc ckd ind per session

Yes

G0421

Ed svc ckd grp per session

Yes

G0422

Intens cardiac rehab w/exerc

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

No

G0423

Intens cardiac rehab no exer

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

No

G0424

Pulmonary rehab w exer

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

No

G0425

Inpt/ed teleconsult30

Yes

G0426

Inpt/ed teleconsult50

Yes

G0427

Inpt/ed teleconsult70

Yes

G0438

Ppps, initial visit

Yes

G0439

Ppps, subseq visit

Yes

G0442

Annual alcohol screen 15 min

Yes

G0443

Brief alcohol misuse counsel

Yes

G0444

Depression screen annual

Yes

G0445

High inten beh couns std 30m

Yes

G0446

Intens behave ther cardio dx

Yes

G0447

Behavior counsel obesity 15m

Yes

G0459

Telehealth inpt pharm mgmt

Yes

G0506

Comp asses care plan ccm svc

Yes

G0508

Crit care telehea consult 60

No

G0509

Crit care telehea consult 50

No

G0513

Prolong prev svcs, first 30m

Yes

G0514

Prolong prev svcs, addl 30m

Yes

G2086

Off base opioid tx 70min

Yes

G2087

Off base opioid tx, 60 m

Yes

G2088

Off base opioid tx, add30

Yes

G2211

Complex E/M visit add on

Yes

G2212

Prolong outpt/office vis

Yes

G9685

Acute nursing facility care

Temporary Addition for the PHE for the COVID-19 Pandemic—Added 4/30/20

No

We’ll update this post with any future revisions announced by the DWC. Meanwhile, feel free to watch the replay of our most recent webinar on telehealth in California workers’ comp, and browse other free COVID-19 resources from DaisyBill.


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