Billing For Digital And Telehealth Services PPT
                     
BILLING FOR DIGITAL AND 
TELEHEALTH SERVICES
The Centers for Medicare & Medicaid Services (CMS) issued the 2023 
Physician Fee Schedule (PFS) Final Rule on November 1, 2022. This Final Rule 
for telehealth and digital service providers includes significant changes, 
stating new codes that will anticipate and facilitate future growth in these 
areas. However, medical billers and coders require immediate answers to 
their digital and telehealth billing services questions. Which codes are to be 
used, and for what services? How do digital and telehealth services get 
reimbursed? And many more!!
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LET’S BEGIN THE JOURNEY BY KNOWING ABOUT 
THE CPT CODES TO BE USED FOR DIGITAL AND 
TELEHEALTH SERVICES:
CPT Codes:
• Online Digital E/M Services :
These are the codes used by clinicians who may independently bill online digital 
evaluation and management (E/M) services in their scope of practice. They are 
“messaging” codes, not video, telephone, or in-person services meant for E/M services 
of a type to be done face-to-face through a HIPAA-compliant secure platform. 
• Telehealth Visits
All traditional Medicare beneficiaries, regardless of originating site or geographic 
location, will be covered for telehealth visits. However, a pre-existing relationship with a 
patient is not required to provide a telehealth visit. Instead, telehealth/e-visits can be 
provided using Skype, FaceTime, and other common communication technologies. 
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99201-99205: New patient office/outpatient E/M visit
G0425-G0427: Initial inpatient telehealth consultations for emergency 
department (Medicare only)
G0406-G0408: Follow-up inpatient consultations for patients in hospitals or 
SNFs (Medicare only)
Modifier 95: Use on an interim basis for Medicare 
telehealth billing company by most commercial payers
• Telephone E/M Services :
Telephone or audio-only evaluation and management (E/M) services for 
established and new patients may neither be led to an E/M service or procedure 
within the next 24 hours nor derived from a related E/M service provided within 
the previous 7 days or the next available appointment. 
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• Telephone E/M Services
Telephone or audio-only evaluation and management (E/M) services for 
established and new patients may neither be led to an E/M service or procedure 
within the next 24 hours nor derived from a related E/M service provided within 
the previous 7 days or the next available appointment.
Enhance your Reimbursements
Undoubtedly, the provisions of the Final Rule will significantly impact the 
prospects of telehealth and digital services in the context of the Medicare 
Program and beyond beginning in January 2023. However, the billing 
guidelines for digital and telehealth services are still being developed. In fact, 
the rules for billing digital and telehealth services vary from payer to payer 
(Medicaid, Medicare, private payers, etc.).
To know more, you can contact the 24/7 Medical Billing Services team to 
enhance your reimbursements ultimately.
To get in details visit : https://bit.ly/3GAlTQD
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About 24/7 Medical Billing Services
24/7 Medical Billing Services is the nation’s 
leading medical billing service provider catering services to more than 43 
specialties across the entire 50 states. You can rely on us for end-to-end 
revenue cycle management. We guarantee up to 10-20% increase in the 
revenue with cost reduction of your practice for up to 50%. 
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CALL US TODAY :
Media Contact – 
24/7 Medical Billing Services,
28405 Osborn Road,
 Cleveland, OH, 44140
Tel: + 1 -888-502-0537
Email: [email protected]
Website: https://www.247medicalbillingservices.com/
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