April – June 2026
The South Central Region Virtual Visit Billing Guides have been updated with the most recent payor changes. Below is this quarter's most recent updates, or click on any state to go directly to that state's guide.
The quarterly updates for the Arkansas, Tennessee, and Mississippi Virtual Visit Billing Guides are now available! This quarter’s update focuses on an important Medicare billing change for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) providing distant-site telehealth services.
Beginning October 1, 2026, RHCs and FQHCs will no longer report HCPCS code G2025 for non-behavioral health distant-site telehealth services. Instead, facilities must report the individual CPT or HCPCS code that describes the service provided, along with the appropriate revenue code and telehealth modifier.
Medicare
RHC and FQHC Distant-Site Telehealth Billing Changes
Effective for dates of service on or after October 1, 2026:
- Discontinuation of G2025
RHCs and FQHCs must bill the individual CPT or HCPCS code that describes the distant-site telehealth service instead of HCPCS code G2025. - Telehealth Modifiers Required
The appropriate revenue code must be reported with one of the following modifiers:- Modifier 93: Synchronous audio-only telehealth service
- Modifier 95: Synchronous audio-video telehealth service
- Eligible Telehealth Services
The service must be within the practitioner’s scope of practice and included on Medicare’s approved telehealth services list. - Payment Methodology
Medicare will establish an annual payment rate based on the national average payment for services included on the Medicare Physician Fee Schedule telehealth list. The payment rate will not be geographically adjusted.
