toria11
Guru
Hi! Anyone have a cheat sheet or list of payers that are using the new 98XXX telehealth codes and which are following Medicare and continuing to use the 992XX codes?
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Wiki New Telehealth Codes
- Thread starter toria11
- Start date
Papitha
Networker
I found that the link below is useful to understand the changes of 2025 in Telehealth Codes easily.
Hope this will be helpful to you as well!
Hope this will be helpful to you as well!
toria11
Guru
Hi, thanks for the info! It definitely outlines the new codes well, but I'm looking for info on what the commercial payers/Medicare advantage plans are going to follow since Medicare will not recognize the new codes. It's making things so much more complicated than it should be.
I have not yet come across any carrier that has explicitly stated to use the new telehealth codes. Some have stated they will follow Medicare. Others haven't said anything.Hi, thanks for the info! It definitely outlines the new codes well, but I'm looking for info on what the commercial payers/Medicare advantage plans are going to follow since Medicare will not recognize the new codes. It's making things so much more 'complicated than it should be.
MistiPatton
New
Has anyone found out specifically about Cigna or Aetna? Will they follow the new codes?
Papitha
Networker
Hi, we started billing the new codes for the commercial payers with the modifiers 95 or 93 based on the documents and the claims got paid. Appropriate POS is mandatory to avoid denials.Hi, thanks for the info! It definitely outlines the new codes well, but I'm looking for info on what the commercial payers/Medicare advantage plans are going to follow since Medicare will not recognize the new codes. It's making things so much more complicated than it should be.
dmartin@finrx.com
Contributor
I am still searching myself but just recently came across United Healthcare's reimbursement policy
Hi, we are having issues with getting our claims out with the new codes. The clearinghouse keeps rejecting stating they are not valid codes. I have set the POS to 2 and added the correct modifiers to claims. Any suggestions would be greatly appreciated!!
Yes we are tooHi, thanks for the info! It definitely outlines the new codes well, but I'm looking for info on what the commercial payers/Medicare advantage plans are going to follow since Medicare will not recognize the new codes. It's making things so much more complicated than it should be.
