02/14/2025

ASCO Coding Tip of the Month – February 2025: Telehealth

While the CPT Editorial Panel created a set of new audio/visual and audio-only telehealth evaluation and management visit codes to be used in 2025, CMS is not reimbursing for these codes. Instead, Medicare is allowing two-way, real-time audio only telehealth service if the provider is technically capable of providing audio-visual telehealth. Providers reporting telehealth services for Medicare beneficiaries should utilize the appropriate E/M services (99202-99215) with an appropriate POS.  A modifier may be needed to indicate audio only or Federally Qualified Health Centers/Rural Health.

Congress extended Medicare telehealth flexibilities until March 31^st, 2025. All Medicare beneficiaries, regardless of geographic location, will continue to have access to covered telehealth services in their homes. Non-behavioral physician specialties, including oncology clinicians, can continue to provide telehealth also. Please check other payers for telehealth policies for coding and coverage guidance as these policies may differ.

Missed one of ASCO’s Coding Tips of the Month? Access them all in the Coding Tip of the Month Archive on ASCO’s Coding and Reimbursement webpage.