CMS expands list of billable telehealth services

October 19, 2020
News & Insights

CMS added 11 new services to the list of telehealth services on October 14 that it will pay for during the novel coronavirus (COVID-19) public health emergency (PHE).

Effective immediately and for the duration of the PHE, Medicare providers can bill the following CPT® Category I and HCPCS Level II codes for cardiac and pulmonary rehabilitation services when they are performed remotely via telehealth:

  • 93797, qualified healthcare professional services for outpatient cardiac rehabilitation; without continuous electrocardiogram (ECG) monitoring
    • 93798: …; with continuous ECG monitoring
  • 93750, interrogation of ventricular assist device, in person, with qualified healthcare professional analysis of device parameters, review of device function, with programming, if performed, and report
  • 95970, electronic analysis of implanted neurostimulator pulse generator/transmitter by a qualified healthcare professional; with brain, cranial nerve, spinal cord, peripheral nerve, or sacral nerve, neurostimulator pulse generator/transmitter, without programming
    • 95971 …; with simple spinal cord or peripheral nerve neurostimulator pulse generator/transmitter programming by a qualified healthcare professional
    • 95972: …; with complex spinal cord or peripheral nerve neurostimulator pulse generator/transmitter programming by a qualified healthcare professional
  • 95983, electronic analysis of implanted neurostimulator pulse generator/transmitter, by a qualified healthcare professional; with brain neurostimulator pulse generator/transmitter programming; first 15 minutes face-to-face with a qualified healthcare professional
    • 95984, …; each additional 15 minutes face-to-face with a qualified healthcare professional
  • G0422, intensive cardiac rehabilitation; with or without continuous electrocardiogram monitoring with exercise, per session
    • G0423, ...; without exercise, per session
  • G0424, pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day

A complete list of services payable under Medicare during the PHE is available on CMS’ website.