Telehealth Waiver UPDATES

Payers Expiration of Reimbursement Equal to In-Person Visit Patient Cost-Share Waived (COVID Related ONLY)
Medicare Part B Through End of PHE Through End of PHE
UnitedHealthcare 9/30/2020 7/24/2020
Anthem 9/30/2020 12/31/2020
Humana Until Further Notice 12/31/2020
Cigna 7/31/2020 7/31/2020
AETNA Until Further Notice 9/30/2020
Kaiser Permanente Not Noted 12/31/2020
Centene Not Noted 12/31/2020
HealthNet Tricare Not Noted Through End of PHE
Molina HealthCare Through End of PHE 12/31/2020
Blue Cross Blue Shield Expiration of Reimbursement Equal to In-Person Visit Patient Cost-Share Waived (COVID Related ONLY)
Wellmark – IA/SD 2/1/2021 8/31/2020
Premera – AK/WA 12/31/2020 12/31/2020
Florida Blue 8/1/2020 12/31/2020
Capital Blue – PA 9/30/2020 Varies on Plan and Services
Highmark – PA, DE, WV 9/30/2020 9/30/2020
Blue Shield – CA Not Noted 9/30/2020
BCBS of Texas 6/30/2020 6/30/2020
BCBS of TN Not Noted Through End of PHE
BCBS of LA Not Noted Through End of PHE
HMSA (BCBS Hawaii)  Not Noted 6/30/2020

Ready for help? Let PractiSynergy Help You Get Paid!

CONTACT US

COVID-19 Updates For Billing*

Telehealth during COVID-19

What Place of Service (POS) Should I use?

  • Medicare

  • Medicaid and MCOs
  • Blue Cross Blue Shield – Wellmark
  • UnitedHealthcare

*Updated for Iowa – Other states may vary

What Modifier Should I use? 

  • Medicare

  • Medicaid and MCOs
  • Blue Cross Blue Shield – Wellmark
  • UnitedHealthcare

VIDEO Telehealth E/M Codes

All Payers

  • E/M for normal “Office” Location

  • E/M Codes for “Inpatient” Hospital
  • E/M Codes for Nursing Facility Location
  • Blue Cross Blue Shield – Wellmark

AUDIO Telehealth E/M Codes

Listed by Payer

  • Medicare

  • Medicaid

  • Blue Cross Blue Shield – Wellmark
  • UnitedHealthcare

Behavioral Health Telehealth Codes

Listed by Payer

  • Medicare

  • Medicaid

  • Blue Cross Blue Shield – Wellmark

  • UnitedHealthcare

Have questions? Contact Us!

Contact Us