Medicare Telehealth Fee-for-Service Codes Furnished Via Face-to-Face Encounters

CodeShort DescriptorLong Descriptor
90785Psytx complex interactive 
90791Psych diagnostic evaluationPsychiatric diagnostic interview examination
90792Psych diag eval w/med srvcsPsychiatric diagnostic interview examination
90832Psytx pt&/family 30 minutesIndividual psychotherapy
90833Psytx pt&/fam w/e&m 30 minIndividual psychotherapy
90834Psytx pt&/family 45 minutesIndividual psychotherapy
90836Psytx pt&/fam w/e&m 45 minIndividual psychotherapy
90837Psytx pt&/family 60 minutesIndividual psychotherapy
90838Psytx pt&/fam w/e&m 60 minIndividual psychotherapy
90839Psytx crisis initial 60 min 
90840Psytx crisis ea addl 30 min 
90845PsychoanalysisPsychoanalysis (effective for services furnished on and after January 1, 2015)
90846Family psytx w/o patientFamily psychotherapy (without the patient present) (effective for services furnished on and after January 1, 2015)
90847Family psytx w/patientFamily psychotherapy (with the patient present) (effective for services furnished on and after January 1, 2015)
90951Esrd serv 4 visits p mo <2yrEnd-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90952Esrd serv 2-3 vsts p mo <2yrEnd-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90954Esrd serv 4 vsts p mo 2-11End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90955Esrd srv 2-3 vsts p mo 2-11End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90957Esrd srv 4 vsts p mo 12-19End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90958Esrd srv 2-3 vsts p mo 12-19End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90960Esrd srv 4 visits p mo 20+End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90961Esrd srv 2-3 vsts p mo 20+End-Stage Renal Disease (ESRD)-related services included in the monthly capitation payment
90963Esrd home pt serv p mo <2yrsEnd-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
90964Esrd home pt serv p mo 2-11End-stage renal disease (ESRD) related services for home
dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
90965Esrd home pt serv p mo 12-19End-stage renal disease (ESRD) related services for home
dialysis per full month, for patients 12-19 years of age to
include monitoring for the adequacy of nutrition, assessment of
growth and development, and counseling of parents
90966Esrd home pt serv p mo 20+End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older
90967Esrd home pt serv p day <2 
90968Esrd home pt serv p day 2-11 
90969Esrd home pt serv p day 12-19 
90970Esrd home pt serv p day 20+ 
96116Neurobehavioral status examNeurobehavioral status examination
96150Assess hlth/behave initIndividual and group health and behavior assessment and intervention
96151Assess hlth/behave subseqIndividual and group health and behavior assessment and intervention
96152Intervene hlth/behave indivIndividual and group health and behavior assessment and intervention
96153Intervene hlth/behave groupIndividual and group health and behavior assessment and intervention
96154Interv hlth/behav fam w/ptIndividual and group health and behavior assessment and intervention
96160Pt-focused hlth risk assmtAdministration of patient-focused health risk assessment instrument (e.g., health hazard appraisal) with scoring and documentation, per standardized instrument,
96161Caregiver health risk assmt“Administration of caregiver-focused health risk assessment instrument (e.g., depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument.
97802Medical nutrition indiv in 
97803Med nutrition indiv subseq 
97804Medical nutrition group 
99201Office/outpatient visit newOffice or other outpatient visits
99202Office/outpatient visit newOffice or other outpatient visits
99203Office/outpatient visit newOffice or other outpatient visits
99204Office/outpatient visit newOffice or other outpatient visits
99205Office/outpatient visit newOffice or other outpatient visits
99211Office/outpatient visit estOffice or other outpatient visits
99212Office/outpatient visit estOffice or other outpatient visits
99213Office/outpatient visit estOffice or other outpatient visits
99214Office/outpatient visit estOffice or other outpatient visits
99215Office/outpatient visit estOffice or other outpatient visits
99231Subsequent hospital careSubsequent hospital care services, with the limitation of 1 telehealth visit every 3 days
99232Subsequent hospital careSubsequent hospital care services, with the limitation of 1 telehealth visit every 3 days
99233Subsequent hospital careSubsequent hospital care services, with the limitation of 1 telehealth visit every 3 days
99307Nursing fac care subseqSubsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99308Nursing fac care subseqSubsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99309Nursing fac care subseqSubsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99310Nursing fac care subseqSubsequent nursing facility care services, with the limitation of 1 telehealth visit every 30 days
99354Prolonged service office 
99355Prolonged service office 
99356Prolonged service inpatient 
99357Prolonged service inpatient 
99406Behav chng smoking 3-10 minSmoking cessation services
99407Behav chng smoking > 10 minSmoking cessation services
99495Trans care mgmt 14 day dischTransitional care management services with moderate medical decision complexity (face-to-face visit within 14 days of discharge)
99496Trans care mgmt 7 day dischTransitional care management services with moderate medical decision complexity (face-to-face visit within 14 days of discharge)
99497Advncd care plan 30 min 
99498Advncd are plan addl 30 min 
G0108Diab manage trn  per indivIndividual and group diabetes self-management training services, with a minimum of 1 hour of in-person instruction to be furnished in the initial year training period to ensure effective injection training
G0109Diab manage trn ind/groupIndividual and group diabetes self-management training services, with a minimum of 1 hour of in-person instruction to be furnished in the initial year training period to ensure effective injection training
G0270Mnt subs tx for change dxIndividual and group medical nutrition therapy
G0296Visit to determ ldct elig 
G0396Alcohol/subs interv 15-30mnAlcohol and/or substance (other than tobacco) abuse structured assessment and intervention services
G0397Alcohol/subs interv >30 minAlcohol and/or substance (other than tobacco) abuse structured assessment and intervention services
G0406Inpt/tele follow up 15Follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals or SNFs
G0407Inpt/tele follow up 25Follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals or SNFs
G0408Inpt/tele follow up 35Follow-up inpatient telehealth consultations furnished to beneficiaries in hospitals or SNFs
G0420Ed svc ckd ind per sessionIndividual and group kidney disease education services
G0421Ed svc ckd grp per sessionIndividual and group kidney disease education services
G0425Inpt/ed teleconsult30Telehealth consultations, emergency department or initial inpatient
G0426Inpt/ed teleconsult50Telehealth consultations, emergency department or initial inpatient
G0427Inpt/ed teleconsult70Telehealth consultations, emergency department or initial inpatient
G0436Tobacco-use counsel 3-10 minSmoking cessation services
G0437Tobacco-use counsel>10minSmoking cessation services
G0438Ppps, initial visit 
G0439Ppps, subseq visit 
G0442Annual alcohol screen 15 minAnnual alcohol misuse screening, 15 minutes
G0443Brief alcohol misuse counselBrief face-to-face behavioral counseling for alcohol misuse, 15 minutes
G0444Depression screen annualAnnual depression screening, 15 minutes
G0445High inten beh couns std 30mHigh-intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi- annually, 30 minutes
G0446Intens behave ther cardio dxAnnual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
G0447Behavior counsel obesity 15mFace-to-face behavioral counseling for obesity, 15 minutes
G0459Telehealth inpt pharm mgmtTelehealth Pharmacologic Management
G0506Comp asses care plan ccm svc 
G0508Crit care telehea consult 60 
G0509Crit care telehea consult 50 
G0513Prolong prev svcs, first 30m 
G0514Prolong prev svcs, addl 30m