Table 3.
Billing Codes for Virtual Visits (Also Called “Telehealth visits” by the Centers for Medicare & Medicaid Services)
| Description | Code and Modifier |
|---|---|
| Office or other outpatient visit for the evaluation and management of a new patient | CPT Code 99201-99205* |
| Place of service 02 for Telehealth (Medicare), or, | |
| Modifier GT (Medicare/Medicaid) | |
| Modifier 95 (Commercial payers) | |
| Office or other outpatient visit for the evaluation and management of an established patient | CPT Code 99211–99215* |
| Place of service 02 for Telehealth (Medicare) or | |
| Modifier GT (Medicare/Medicaid) | |
| Modifier 95 (Commercial payers) | |
| Telehealth consultations, emergency department or initial inpatient | G0425–G0427 |
| Follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals or skilled nursing facilities | G0406–G0408 |
Choice of Current Procedural Terminology (CPT) code depends on whether the provider elects to use time-based coding vs component-based coding. For example, a provider using time-based coding for a Medicare beneficiary seen by VV for 15 minutes would document the time spent in the note and then may choose CPT code 99213 with modifier GT, if otherwise appropriate for that encounter.