Welcome to the MCMS Telemedicine Reference Page
Last updated 3.27.2020
Below are commonly used codes for Telemedicine Billing |
99441: Telephone E/M service; 5-10 minutes of medical discussion 99442: 11-20 minutes of medical discussion 99443: 21-30 minutes of medical discussion G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services; 5-10 minutes of medical discussion | 99421: Online digital E/M service5-10 minutes of medical discussion 99422: Online digital E/M service11- 20 minutes of medical discussion 99423: Online digital E/M service 21-30 minutes of medical discussion |
Aetna: Beginning March 6, 2020, Aetna will offer zero co-pay for covered telemedicine visits for any reason for 90 days. We will waive the cost share for all video and telephone visits through the Aetna-covered Teladoc offerings and in-network providers delivering synchronous virtual care (live video-conferencing) for all Commercial plan designs*. Self-insured plan sponsors can opt-out of this program at their discretion. Refer to Aetna website for current information | Excellus: Cost sharing waved Modifiers: 95 for commercial; GT for Medicare Advantage Use E/M codes according to criteria: 99441**, 99442**, 99443**, 99421**, 99422**, 99423**,G2012** |
Medicare: Please refer to CMS Medicare Part B for updated CMS information on Telemedicine https://www.cms.gov/Medicare/Medicare-general-information/telehealth/telehealth-codes As of March 25, 2020, practices do not need to hold claims | MVP: Cost sharing waved Modifiers: 95 for commercial; GT for Medicare Advantage Use E/M codes according to criteria: 99441, 99442, 99443 – Commercial and Medicaid G2012 – Commercial and Medicare Advantage - refer to MVP for Medicare Advantage contracts. | NYS Medicaid: 99441,99442, 99443, 99211GQ new or established patients |