Additional Medicare Telehealth Services for Calendar Year (CY) 2013

Reimbursement Information Tracking, January 2013

  January 7, 2013
  Additional Medicare Telehealth Services for Calendar Year
  (CY) 2013

The Centers for Medicare and Medicaid Services (CMS) added G0396, G0397, G0442, G0443, G0444, G0445, G0446, and G0447 to the list of telehealth services for CY 2013 on a category 1 basis. The CMS defines Category 1 telehealth services to include those services that require a face-to-face meeting with the patient.

Codes	Descriptor
G0396	Alcohol and/or substance (other than tobacco) abuse structured assessment (for example, AUDIT, DAST) and brief intervention, 15 to 30 minutes
G0397	Alcohol and/or substance (other than tobacco) abuse structured assessment (for example, AUDIT, DAST) and intervention greater than 30 minutes
G0442	Annual alcohol misuse screening, 15 minutes
G0443	Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
G0444	Annual Depression Screening, 15 minutes
G0445	High-intensity behavioral counseling to prevent sexually transmitted infections, face-to-face, individual, includes: education, skills training, and guidance on how to change sexual behavior, performed semi-annually, 30 minutes
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
G0447	Face-to-face behavioral counseling for obesity, 15 minutes

Contact GIRS for effective strategies for coding of Telehealth services technologies and coverage and payment of Telehealth technologies under the Medicare Telehealth Services.

Visit GIRS Coverage and Payment Services / Payer Advocacy Services for a list of additional services.

Sources:
Expansion of Medicare Telehealth Services for CY 2013 CMS MLN Matters Article

Final Rule

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Reimbursement Information Tracking, January 2013