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:
The updates not only include recent payor telehealth policy changes, but also a new payor matrix format! Payors have continued their current telehealth flexibilities as the COVID-19 Federal Public Health Emergency (PHE) remains in place. However, we are continuing to see these flexibilities becoming permanent instead of temporary policies. We are also seeing more payors implement the use of POS 10, which is “Telehealth Provided in Patient’s Home”. Below are the detailed highlights:
BCBS of TN
- Added POS 10 as recognized POS
Arkansas Medicaid
- Added POS 10 as recognized POS
BlueCare of Tennessee
- Added POS 10 as recognized POS
UHC Community Plan of Tennessee
- Added POS 10 as recognized POS
CIGNA
- Effective 04/10/2022: CPT 96112 and 96113 added to code list as eligible for reimbursement.
- Effective 03/13/2022: Added CPT 99091, 99446-99454, 99457-99458, 99473-99474 and HCPCS G0151-G0153, G0155, G0157-G0158, G0299-G0300, G0493, G2010. G2012, S9110, S9123 and S9128-S9131 code lists as eligible for reimbursement Added 98966-98972, 99421-99423, G0406-G0408, G0425-G0427, G0508-G0509, and S0320 to Non-Reimbursable code list.
- Effective 07/01/2022 virtual care services must be submitted with POS 02; modifiers 93 or FQ will be added to the list of required modifiers
