Table 1

Medicare-approved telehealth services*

Service	Description and comments	Requirements	Common applicable codes	Medicare average reimbursement (non-facility)
Telehealth visits	Replace most of the office and hospital visits. A visit with the provider that uses telecommunications systems. Include two-way, real-time, audio-visual devices.	Established. New patients†. Communication between the provider and the patient. Interactive audio and video telecommunications. Real-time communication.	99201 99202 99203 99204 99205 99211 99212 99213 99214 99215	$46.56 $77.23 $109.35 $167.09 $211.12 $23.46 $46.19 $75.16 $110.43 $148.33
Audio-only E/M services	A visit with the provider. Use an audio-only telecommunications system.	Established patient. New patients†.	99441 99442 99443	$14.44‡ $28.15‡ $41.14‡
Virtual check-in	Brief technology-based communication service. A brief check-in with provider via telephone or other telecommunications device. Used to decide whether an office visit is necessary (ie, helps avoid unnecessary visits). May include a remote evaluation of recorded video and/or images. 5–10 min.	Established patient. Patient-initiated. Patient verbal consent. Synchronous exchange. Exchange of information. Not related to a medical visit within the 7 previous days. Does not lead to a visit within the next 24 hours.	HCPCS G2012 HCPCS G2010	$14.80 $12.27
E-visits	Brief technology-based communication service. A communication between a patient and a provider through an online patient portal. Time-based to include cumulative time over 7 days.	Established patient. Patient-initiated. May occur over a 7-day period. Patient verbal consent. Online patient portal.	99421 99422 99423	$15.52 $31.04 $50.16

*Adapted and modified from cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet. Accessed April 30, 2020. For Medicare and Medicaid and commercial insurers, please check on coding and billing requirements including modifiers and place of service identification.
†The Department of Health and Human Services, under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act, announced a policy of enforcement discretion for Medicare telehealth services and audits will not be conducted to ensure the prior patient relationship requirement exists.
‡Reimbursement prior to the CMS expansion of telehealth on April 30, 2020.51
CMS, Centers for Medicare and Medicaid Services; E/M, evaluation and management.