Effective 10/14/2020, the Centers for Medicare & Medicaid Services (aka “CMS” or “Medicare”) added 11 new services to the List of Telehealth Services that Medicare will reimburse during the COVID-19 emergency.
Per the most recent OMFS regulation update, the California Division of Workers’ Compensation (DWC) has not yet adopted these new services. Once/If the DWC adopts these additional codes, we will update the fee schedules in DaisyWizard and send out an announcement.
On 10/27/20 the DWC formally adopted these telehealth codes into the Physicians Services Fee Schedule for Dates of Service on and after 10/14/20. Read more here.
Even though Medicare has added additional reimbursable telehealth services, it is the California DWC that determines the rules for California workers’ comp, including authorization, treatment, billing and payment, and rules for telehealth services furnished to injured workers.
The following table lists the new telehealth services added to the Medicare List of Telehealth Services. These 11 codes do not meet the requirements for audio-only interaction.
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 |
No |
93798 |
Cardiac rehab/monitor |
Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20 |
No |
93750 |
Interrogation vad in person |
Temporary Addition for the PHE for the COVID-19 Pandemic—Added 10/14/20 |
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 |
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 |
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