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HCPCS Level II Telehealth Services

HCPCS Level II Telehealth Services

Owned by Raymonde Uy (Unlicensed)
Dec 10, 2020
Value Set OIDValue Set NameCodeDescriptorCode System NameCode System OIDCode System Version
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0108Diabetes outpatient self-management training services, individual, per 30 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0109Diabetes outpatient self-management training services, group session (2 or more), per 30 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0270Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0296Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)HCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0397Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0410Group psychotherapy other than of a multiple-family group, in a partial hospitalization setting, approximately 45 to 50 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0420Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hourHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0421Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hourHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0436Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0437Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visitHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visitHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0442Annual alcohol misuse screening, 15 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0443Brief face-to-face behavioral counseling for alcohol misuse, 15 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0444Annual depression screening, 15 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0445High 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 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0447Face-to-face behavioral counseling for obesity, 15 minutesHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0459Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapyHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)HCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0509Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0513Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)HCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG0514Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)HCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG2086Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar monthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar monthHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG2088Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)HCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesG9685Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration projectHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)
2.16.840.1.113883.3.3616.200.110.102.1011Telehealth ServicesS9152Speech therapy, re-evaluationHCPCS Codes2.16.840.1.113883.11.19394Current (2020Q4)

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