Article Detail - JE Part B
Telehealth Evaluation and Management (E/M) services for 2025
When providing telehealth services, providers eligible to perform E/M services should continue to use the appropriate E/M codes through March 31, 2025. Medicare does not recognize the new American Medical Association (AMA) CPT® codes (98000-98015) for E/M telehealth services. These codes are listed under the CY 2025 Medicare Physician Fee Schedule, with a status indicator of ‘I’ - invalid status.
Medicare will only pay separately for brief virtual check-in encounter CPT® code 98016 replacing of HCPCS Level II code G2012, which CMS deleted at the end of 2024.
Telephone only codes, 99441-99443, have been deleted by CPT®. CMS did not replace these codes with any HCPCS codes.
Providers must have both audio and visual technology capabilities to perform telehealth services. Audio-only technology may be used in situations when the patient can’t access or doesn’t consent to use audio-video technology.
Audio-only Modifiers:
- 93 (Telehealth modifier defined as "synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system")
- FQ (Service was furnished using audio-only communication technology) - Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) performing mental health visits
Place of Service
- 02 - Telehealth provided other than in patient’s home
- 10 - Telehealth provided in patient’s home
