2021 Telehealth Billing Guide for CA Workers' Comp

August 9, 2021 17 min read

By: Catherine Montgomery

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.

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