The South Central Region Virtual Visit Billing Guides have been updated with the most recent payor changes. Below is this announcement's most recent updates, or click on any state to go directly to that state's guide.
Highlights:
Payors have continued to keep in place their current telehealth flexibilities as the COVID-19 Federal Public Health Emergency (PHE) continues on.
We are seeing payors begin to implement the use of POS 10, which is the new POS code that CMS added effective January 1st, 2022. POS 10 is now known as “Telehealth Provided in Patient’s Home”, while the original telehealth place of service (02), was renamed to “Telehealth Provided Other than in Patient’s Home”.
Below are the detailed updates:
Anthem Wisconsin
- Extended telephone allowable code and cost share waiver through April 16th, 2022
CIGNA
- Ended coverage for urgent care virtual care services effective March 13th, 2022
- Announcement to hold off billing POS 02 until further notice
UHC
- Added use of POS 10
UHC Community Plan of Tennessee
- Code list recognized with a modifier 95 updated
Wellmark
- Revised section based on provider manual that was received.
