Table 1.

Summary of Medicare Telemedicine Services From Centers for Medicare & Medicaid Services^a

Type of Visit	Codes	Qualifiers	Comment
E-Visits	CPT 99421-99423 (codes are based on time) HCPCS G2061-G2063 (available for clinicians who may not independently bill for E&M visits: physical therapists, occupational therapists, speech language pathologists, and clinical psychologists)	Non–face-to-face patient initiated via an online patient portal	Communication can occur over a 7-day period Medicare coinsurance and deductible would apply
Virtual check in	HCPCS code G2012 HCPCS code G2010	Brief (5- to 10-min) “check in” with the provider via telephone or other telecommunications to decide whether an office visit is needed.	For established patients with no geographic or site restrictions
Telehealth visit	CPT 99201-99215 (office or other outpatient visit) HCPCS G0425-G0427 (telehealth consultations, ED, or initial inpatient) HCPCS G0406-G0408 (follow-up inpatient telehealth consultation to beneficiary in hospital or SNF)		For new or established, with HHS not conducting audits to ensure a prior relationship existed. Payment for telehealth services denied if the E&M occurred in the last 7 days.

CPT = Current Procedural Terminology (American Medical Association); ED = emergency department; E&M = evaluation and management; HCPCS = Healthcare Common Procedure Coding System; HHS = Health and Human Services; SNF = skilled nursing facility.

^aSource: Centers for Medicare and Medicaid⁴