Telehealth: CMS Medicare Adds 11 New Telehealth Services

Telehealth: CMS Medicare Adds 11 New Telehealth Services

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.

Edit 10/29/20: 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.

Telehealth Services Added Effective 10/14/2020

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


Make it simple when new reimbursements are added or updated. Our DaisyWizard includes our Fee Schedule Calculator, which quickly calculates reimbursements for workers’ comp services. Enjoy a free trial of the DaisyWizard, and see what DaisyBill can do for your practice.

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