		"LIST OF MEDICARE TELEHEALTH SERVICES  effective January 1, 2022-updated November 1, 2021"		
Code	Short Descriptor	Status 	Can Audio-only Interaction Meet the Requirements?	Medicare Payment Limitations
0362T	Bhv id suprt assmt ea 15 min	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
0373T	Adapt bhv tx ea 15 min	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
77427	Radiation tx management x5	Temporary Addition for the PHE for the COVID-19 Pandemic		
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		Non-covered service
90951	Esrd serv 4 visits p mo <2yr			
90952	Esrd serv 2-3 vsts p mo <2yr			
90953	Esrd serv 1 visit p mo <2yrs	"Available up Through December 31, 2023"		
90954	Esrd serv 4 vsts p mo 2-11			
90955	Esrd srv 2-3 vsts p mo 2-11			
90956	Esrd srv 1 visit p mo 2-11	"Available up Through December 31, 2023"		
90957	Esrd srv 4 vsts p mo 12-19			
90958	Esrd srv 2-3 vsts p mo 12-19			
90959	Esrd serv 1 vst p mo 12-19	"Available up Through December 31, 2023"		
90960	Esrd srv 4 visits p mo 20+			
90961	Esrd srv 2-3 vsts p mo 20+			
90962	Esrd serv 1 visit p mo 20+	"Available up Through December 31, 2023"		
90963	Esrd home pt serv p mo <2yrs			
90964	Esrd home pt serv p mo 2-11			
90965	Esrd home pt serv p mo 12-19			
90966	Esrd home pt serv p mo 20+			
90967	Esrd svc pr day pt <2			
90968	Esrd svc pr day pt 2-11			
90969	Esrd svc pr day pt 12-19			
90970	Esrd svc pr day pt 20+			
92002	Eye exam new patient	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92004	Eye exam new patient	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92012	Eye exam establish patient	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92014	Eye exam&tx estab pt 1/>vst	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92507	Speech/hearing therapy	"Available up Through December 31, 2023"	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 December 31, 2023"	Yes	
92522	Evaluate speech production	"Available up Through December 31, 2023"	Yes	
92523	Speech sound lang comprehen	"Available up Through December 31, 2023"	Yes	
92524	Behavral qualit analys voice	"Available up Through December 31, 2023"	Yes	
92526	Oral function therapy	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92550	Tympanometry & reflex thresh	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92552	Pure tone audiometry air	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92553	Audiometry air & bone	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92555	Speech threshold audiometry	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92556	Speech audiometry complete	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92557	Comprehensive hearing test	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92563	Tone decay hearing test	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92565	Stenger test pure tone	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92567	Tympanometry	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92568	Acoustic refl threshold tst	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92570	Acoustic immitance testing	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92587	Evoked auditory test limited	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92588	Evoked auditory tst complete	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 5/10/21		
92601	Cochlear implt f/up exam <7	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92602	Reprogram cochlear implt <7	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92603	Cochlear implt f/up exam 7/>	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92604	Reprogram cochlear implt 7/>	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
92607	Ex for speech device rx 1hr	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92608	Ex for speech device rx addl	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92609	Use of speech device service	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92610	Evaluate swallowing function	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92625	Tinnitus assessment	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92626	Eval aud funcj 1st hour	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
92627	Eval aud funcj ea addl 15	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
93750	Interrogation vad in person	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20		
93797	Cardiac rehab	"Available up Through December 31, 2023"		
93798	Cardiac rehab/monitor	"Available up Through December 31, 2023"		
94002	Vent mgmt inpat init day	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
94003	Vent mgmt inpat subq day	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
94004	Vent mgmt nf per day	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
94005	Home vent mgmt supervision	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		Bundled code
94664	Evaluate pt use of inhaler	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
95970	Alys npgt w/o prgrmg	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20		
95971	Alys smpl sp/pn npgt w/prgrm	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20		
95972	Alys cplx sp/pn npgt w/prgrm	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20		
95983	Alys brn npgt prgrmg 15 min	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20		
95984	Alys brn npgt prgrmg addl 15	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 10/14/20		
96105	Assessment of aphasia	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
96110	Developmental screen w/score	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		Non-covered service
96112	Devel tst phys/qhp 1st hr	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
96113	Devel tst phys/qhp ea addl	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
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		
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 December 31, 2023"	Yes	
96131	Psycl tst eval phys/qhp ea	"Available up Through December 31, 2023"	Yes	
96132	Nrpsyc tst eval phys/qhp 1st	"Available up Through December 31, 2023"	Yes	
96133	Nrpsyc tst eval phys/qhp ea	"Available up Through December 31, 2023"	Yes	
96136	Psycl/nrpsyc tst phy/qhp 1st	"Available up Through December 31, 2023"	Yes	
96137	Psycl/nrpsyc tst phy/qhp ea	"Available up Through December 31, 2023"	Yes	
96138	Psycl/nrpsyc tech 1st	"Available up Through December 31, 2023"	Yes	
96139	Psycl/nrpsyc tst tech ea	"Available up Through December 31, 2023"	Yes	
96156	Hlth bhv assmt/reassessment		Yes	
96158	Hlth bhv ivntj indiv 1st 30		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		Non-covered service
96171	Hlth bhv ivntj fam w/o pt ea	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		Non-covered service
97110	Therapeutic exercises	"Available up Through December 31, 2023"		
97112	Neuromuscular reeducation	"Available up Through December 31, 2023"		
97116	Gait training therapy	"Available up Through December 31, 2023"		
97129	Ther ivntj 1st 15 min	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
97130	Ther ivntj ea addl 15 min	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 3/30/21		
97150	Group therapeutic procedures	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97151	Bhv id assmt by phys/qhp	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97152	Bhv id suprt assmt by 1 tech	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97153	Adaptive behavior tx by tech	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97154	Grp adapt bhv tx by tech	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97155	Adapt behavior tx phys/qhp	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97156	Fam adapt bhv tx gdn phy/qhp	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97157	Mult fam adapt bhv tx gdn	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97158	Grp adapt bhv tx by phy/qhp	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97161	Pt eval low complex 20 min	"Available up Through December 31, 2023"		
97162	Pt eval mod complex 30 min	"Available up Through December 31, 2023"		
97163	Pt eval high complex 45 min	"Available up Through December 31, 2023"		
97164	Pt re-eval est plan care	"Available up Through December 31, 2023"		
97165	Ot eval low complex 30 min	"Available up Through December 31, 2023"		
97166	Ot eval mod complex 45 min	"Available up Through December 31, 2023"		
97167	Ot eval high complex 60 min	"Available up Through December 31, 2023"		
97168	Ot re-eval est plan care	"Available up Through December 31, 2023"		
97530	Therapeutic activities	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97535	Self care mngment training	"Available up Through December 31, 2023"	Yes	
97542	Wheelchair mngment training	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
97750	Physical performance test	"Available up Through December 31, 2023"		
97755	Assistive technology assess	"Available up Through December 31, 2023"		
97760	Orthotic mgmt&traing 1st enc	"Available up Through December 31, 2023"		
97761	Prosthetic traing 1st enc	"Available up Through December 31, 2023"		
97802	Medical nutrition indiv in		Yes	
97803	Med nutrition indiv subseq		Yes	
97804	Medical nutrition group		Yes	
99202	Office/outpatient visit new			
99203	Office/outpatient visit new			
99204	Office/outpatient visit new			
99205	Office/outpatient visit new			
99211	Office/outpatient visit est			
99212	Office/outpatient visit est			
99213	Office/outpatient visit est			
99214	Office/outpatient visit est			
99215	Office/outpatient visit est			
99217	Observation care discharge	"Available up Through December 31, 2023"		
99218	Initial observation care	Temporary Addition for the PHE for the COVID-19 Pandemic		
99219	Initial observation care	Temporary Addition for the PHE for the COVID-19 Pandemic		
99220	Initial observation care	Temporary Addition for the PHE for the COVID-19 Pandemic		
99221	Initial hospital care	Temporary Addition for the PHE for the COVID-19 Pandemic		
99222	Initial hospital care	Temporary Addition for the PHE for the COVID-19 Pandemic		
99223	Initial hospital care	Temporary Addition for the PHE for the COVID-19 Pandemic		
99224	Subsequent observation care	"Available up Through December 31, 2023"		
99225	Subsequent observation care	"Available up Through December 31, 2023"		
99226	Subsequent observation care	"Available up Through December 31, 2023"		
99231	Subsequent hospital care			
99232	Subsequent hospital care			
99233	Subsequent hospital care			
99234	Observ/hosp same date	Temporary Addition for the PHE for the COVID-19 Pandemic		
99235	Observ/hosp same date	Temporary Addition for the PHE for the COVID-19 Pandemic		
99236	Observ/hosp same date	Temporary Addition for the PHE for the COVID-19 Pandemic		
99238	Hospital discharge day	"Available up Through December 31, 2023"		
99239	Hospital discharge day	"Available up Through December 31, 2023"		
99281	Emergency dept visit	"Available up Through December 31, 2023"		
99282	Emergency dept visit	"Available up Through December 31, 2023"		
99283	Emergency dept visit	"Available up Through December 31, 2023"		
99284	Emergency dept visit	"Available up Through December 31, 2023"		
99285	Emergency dept visit	"Available up Through December 31, 2023"		
99291	Critical care first hour	"Available up Through December 31, 2023"		
99292	Critical care addl 30 min	"Available up Through December 31, 2023"		
99304	Nursing facility care init	Temporary Addition for the PHE for the COVID-19 Pandemic		
99305	Nursing facility care init	Temporary Addition for the PHE for the COVID-19 Pandemic		
99306	Nursing facility care init	Temporary Addition for the PHE for the COVID-19 Pandemic		
99307	Nursing fac care subseq			
99308	Nursing fac care subseq			
99309	Nursing fac care subseq			
99310	Nursing fac care subseq			
99315	Nursing fac discharge day	"Available up Through December 31, 2023"		
99316	Nursing fac discharge day	"Available up Through December 31, 2023"		
99324	Domicil/r-home visit new pat	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
99325	Domicil/r-home visit new pat	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
99326	Domicil/r-home visit new pat	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		
99327	Domicil/r-home visit new pat	Temporary Addition for the PHE for the COVID-19 Pandemic		
99328	Domicil/r-home visit new pat	Temporary Addition for the PHE for the COVID-19 Pandemic		
99334	Domicil/r-home visit est pat			
99335	Domicil/r-home visit est pat			
99336	Domicil/r-home visit est pat	"Available up Through December 31, 2023"		
99337	Domicil/r-home visit est pat	"Available up Through December 31, 2023"		
99341	Home visit new patient	Temporary Addition for the PHE for the COVID-19 Pandemic		
99342	Home visit new patient	Temporary Addition for the PHE for the COVID-19 Pandemic		
99343	Home visit new patient	Temporary Addition for the PHE for the COVID-19 Pandemic		
99344	Home visit new patient	Temporary Addition for the PHE for the COVID-19 Pandemic		
99345	Home visit new patient	Temporary Addition for the PHE for the COVID-19 Pandemic		
99347	Home visit est patient			
99348	Home visit est patient			
99349	Home visit est patient	"Available up Through December 31, 2023"		
99350	Home visit est patient	"Available up Through December 31, 2023"		
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		
99469	Neonate crit care subsq	"Available up Through December 31, 2023"		
99471	Ped critical care initial	Temporary Addition for the PHE for the COVID-19 Pandemic		
99472	Ped critical care subsq	"Available up Through December 31, 2023"		
99473	Self-meas bp pt educaj/train	Temporary Addition for the PHE for the COVID-19 Pandemic		
99475	Ped crit care age 2-5 init	Temporary Addition for the PHE for the COVID-19 Pandemic		
99476	Ped crit care age 2-5 subsq	"Available up Through December 31, 2023"		
99477	Init day hosp neonate care	Temporary Addition for the PHE for the COVID-19 Pandemic		
99478	Ic lbw inf < 1500 gm subsq	"Available up Through December 31, 2023"		
99479	Ic lbw inf 1500-2500 g subsq	"Available up Through December 31, 2023"		
99480	Ic inf pbw 2501-5000 g subsq	"Available up Through December 31, 2023"		
99483	Assmt & care pln pt cog imp			
99495	Trans care mgmt 14 day disch			
99496	Trans care mgmt 7 day disch			
99497	Advncd care plan 30 min		Yes	
99498	Advncd care plan addl 30 min		Yes	
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		Statutory exclusion
G0420	Ed svc ckd ind per session		Yes	
G0421	Ed svc ckd grp per session		Yes	
G0422	Intens cardiac rehab w/exerc	"Available up Through December 31, 2023"		
G0423	Intens cardiac rehab no exer	"Available up Through December 31, 2023"		
G0424	Pulmonary rehab w exer	"Available up Through December 31, 2023"		
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			
G0509	Crit care telehea consult 50			
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	Bundled code
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		
S9152	"Speech therapy, re-eval"	Temporary Addition for the PHE for the COVID-19 Pandemic?Added 4/30/20		Not valid for Medicare purposes
