CMS Expands Covered Telehealth Services for 2011

September 6th, 2010

CMS is adding the following requested services to the list of Medicare telehealth Services for 2011:

• Individual and group KDE services (HCPCS codes G0420 and G0421, respectively);

• Individual and group DSMT services, with a minimum of 1 hour of in-person instruction to be furnished in the initial year training period to ensure effective injection training (HCPCS codes G0108 and G0109, respectively);

• Group MNT and HBAI services (CPT codes 97804, and 96153 and 96154, respectively);

• Subsequent hospital care services, with the limitation of one telehealth visit every 3 days (CPT codes 99231, 99232, and 99233); and

• Subsequent nursing facility care services, with the limitation of one telehealth visit every 30 days (CPT codes 99307, 99308, 99309, and 99310).

CMS also limited the use of telehealth in two ways. First, for hospital care services, CMS limited the patient’s admitting physician or practitioner to one telehealth visit every 3 days. For subsequent nursing facility care services, CMS limited the patient’s admitting physician or non-physician practitioner to one telehealth visit every 30 days. Also, for DSMT, CMS required a minimum of 1 hour of in-person instruction to be furnished in the year following the initial training to ensure effective injection training.

For more information, visit:   http://www.cms.gov/MLNMattersArticles/downloads/MM7049.pdf.

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