Billing for COVID-19 Telehealth Encounters
Bill the appropriate CPT code for the visit and use a place of service (POS) code of 2 to designate that it was a telemedicine visit unless a plan provides different instructions. These will be noted in the charts below.
Blue Cross Blue Shield of Tennessee provided the following statement to TMA regarding the codes that may be used to bill for telemedicine services until April 30, 2020.
Providers may bill for telehealth in two ways. From now until April 30, they can use codes 99441–99443 for telephonic provider-to-member consultation. This applies to all lines of business’ PCP or specialist benefits. They can also bill for virtual and telephonic consults with patients by using E&M codes 99201–99215 from now through April 30. For behavioral health consultations, use codes 90791, 90792, 90832, 90834 and 90837. Please use place of service 02 for all of these options. Pricing for these services would be consistent with their BlueCross fee schedule.
Approximately 80% of commercial insurance plans in Tennessee are considered ERISA plans and not subject to the policies of the plans listed in the grids below. At this time, we are unaware of the telehealth reimbursement policies of each employer ERISA plan and we recommend confirming telehealth benefits for each patient covered by an ERISA plan.