Telehealth CPT Codes 2024: A Billing Guide for Medical Practitioners

In today’s healthcare landscape, telehealth is essential for modern medical practices. Accurate telehealth billing is vital for the financial health of medical practices.

Understanding the appropriate CPT codes ensures proper reimbursement, maintains revenue streams, and avoids legal and compliance issues. With the rise of telehealth, efficient and reliable Telehealth platform along with streamlined billing processes are more important than ever.

Leap Health’s telehealth offers easy to use, high-definition audio and video experience without the need for app downloads or logins. Features like AI Scribe, automated reminders, virtual waiting rooms, and live chat make virtual care convenient and adaptable to any care setting.

Leap Health’s platform also prioritizes security and privacy, ensuring HIPAA compliance ,256-bit SSL encryption and dedicated firewalls, to protect patient information.

This guide will explore the telehealth CPT codes for 2024, providing a comprehensive billing guide to help your practice navigate the complexities of telehealth billing with ease and focus on delivering exceptional patient care.

Key Telehealth CPT Codes for 2024

The table below provides a comprehensive list of the telehealth CPT codes your practice should know in 2024.

Note: While these codes are current as of 2024, it’s crucial to stay informed and regularly check for updates on www.cms.gov/xyz (add cms website link). Codes can be added or modified throughout the year, and staying updated is key to accurate billing.

1. Behavioral Health and Psychiatry Services CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Psychotherapy	Psychotherapy session	90832	Established Patient	30 minutes
Psychotherapy with E/M	Psychotherapy with patient & E/M	90833	Established Patient	30 minutes
Psychotherapy	Psychotherapy session	90834	Established Patient	45 minutes
Psychotherapy with E/M	Psychotherapy with patient & E/M	90836	Established Patient	45 minutes
Psychotherapy	Psychotherapy session	90837	Established Patient	60 minutes
Psychotherapy with E/M	Psychotherapy with patient & E/M	90838	Established Patient	60 minutes
Psychotherapy Crisis	Psychotherapy for crisis (Initial)	90839	Established Patient	60 minutes
Psychotherapy Crisis	Psychotherapy for crisis	90840	Established Patient	Each additional 30 minutes
Psychoanalysis	Psychoanalysis session	90845	Established Patient	Not specified
Family Psychotherapy	Family psychotherapy without patient	90846	Established Patient	50 minutes
Family Psychotherapy	Family psychotherapy with patient	90847	Established Patient	50 minutes
Group Psychotherapy	Group psychotherapy session	90853	Established Patient	Not specified

2. Telehealth and Phone-Based CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Telephone Assessment/Management	Telephone assessment and management services	98966	Established Patient	5-10 minutes
Telephone Assessment/Management	Telephone assessment and management services	98967	Established Patient	11-20 minutes
Telephone Assessment/Management	Telephone assessment and management services	98968	Established Patient	21-30 minutes
Telephone E/M Services	Telephone E/M service for medical discussion	99441	Established Patient	5-10 minutes
Telephone E/M Services	Telephone E/M service for medical discussion	99442	Established Patient	11-20 minutes
Telephone E/M Services	Telephone E/M service for medical discussion	99443	Established Patient	21-30 minutes
Follow-Up Inpatient Consultation	Limited follow-up inpatient consultation via telehealth	G0406	Medicare Patients	15 minutes
Follow-Up Inpatient Consultation	Intermediate follow-up inpatient consultation via telehealth	G0407	Medicare Patients	25 minutes
Follow-Up Inpatient Consultation	Complex follow-up inpatient consultation via telehealth	G0408	Medicare Patients	35 minutes

3. Physical Therapy and Rehabilitation CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Therapeutic Exercise	Therapeutic exercises to develop strength and endurance	97110	Established Patient	Typically, 15 minutes per session
Neuromuscular Reeducation	Neuromuscular reeducation of movement, balance, kinesthesia	97112	Established Patient	Typically, 15 minutes per session
Gait Training	Gait training therapy	97116	Established Patient	Typically, 15 minutes per session
Therapeutic Interventions	Initial 15 minutes of a therapeutic intervention	97129	Established Patient	15 minutes
Additional Therapeutic Intervention	Each additional 15 minutes of a therapeutic intervention	97130	Established Patient	15 minutes per session
Therapeutic Activities	Therapeutic activities to improve functional performance	97530	Established Patient	Typically, 15 minutes per session
Physical Performance Test or Measurement	Physical performance test or measurement	97750	Established Patient	Typically, 15 minutes per session

4. Speech and Audiology Services CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Speech Therapy	Speech/hearing therapy	92507	Established Patient	Typically session-based
Speech Therapy	Speech/hearing therapy	92508	Established Patient	Typically session-based
Speech Evaluation	Evaluation of speech fluency	92521	Established Patient	Session-based
Speech Evaluation	Evaluate speech sound production	92522	Established Patient	Session-based
Speech Evaluation	Speech sound and language comprehension	92523	Established Patient	Session-based
Behavioral Analysis of Voice	Behavioral and qualitative analysis of voice and resonance	92524	Established Patient	Session-based
Audiology Evaluation	Comprehensive hearing test	92550	Established Patient	Session-based
Pure Tone Audiometry	Pure tone audiometry air only	92552	Established Patient	Session-based
Complete Audiometry	Audiometry air and bone	92553	Established Patient	Session-based
Speech Audiometry	Speech threshold audiometry	92555	Established Patient	Session-based
Speech Audiometry	Speech audiometry complete	92556	Established Patient	Session-based
Comprehensive Audiometric Evaluation	Comprehensive hearing test	92557	Established Patient	Session-based
Tympanometry	Tympanometry	92567	Established Patient	Typically, 15 minutes
Acoustic Reflex Testing	Acoustic reflex threshold testing	92568	Established Patient	Typically, 15 minutes
Acoustic Immittance Testing	Acoustic immittance testing	92570	Established Patient	Typically, 15 minutes

5. Nutrition and Obesity Management CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Diabetes Self-Management Training	Individual session	G0108	Established Patient	Typically, session-based
Diabetes Self-Management Training	Group session	G0109	Established Patient	Typically, session-based
Obesity Behavioral Counseling	Intensive behavioral therapy for obesity	G0447	Established Patient	Typically, 15 minutes
Medical Nutrition Therapy	Initial assessment and intervention, individual	97802	Established Patient	Typically, session-based
Medical Nutrition Therapy	Follow-up visit, individual	97803	Established Patient	Typically, session-based
Medical Nutrition Therapy	Group session	97804	Established Patient	Typically, session-based

6. End-Stage Renal Disease (ESRD) Services CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
ESRD Services Monthly	ESRD services, 4 visits per month for patients <2 years old	90951	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 2-3 visits per month for patients <2 years old	90952	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 1 visit per month for patients <2 years old	90953	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 4 visits per month for patients aged 2-11	90954	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 2-3 visits per month for patients aged 2-11	90955	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 1 visit per month for patients aged 2-11	90956	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 4 visits per month for patients aged 12-19	90957	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 2-3 visits per month for patients aged 12-19	90958	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 1 visit per month for patients aged 12-19	90959	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 4 visits per month for patients aged 20+	90960	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 2-3 visits per month for patients aged 20+	90961	Established Patient	Monthly
ESRD Services Monthly	ESRD services, 1 visit per month for patients aged 20+	90962	Established Patient	Monthly
ESRD Services for Home Patients	ESRD home patient services per month for patients <2 years	90963	Established Patient	Monthly
ESRD Services for Home Patients	ESRD home patient services per month for patients aged 2-11	90964	Established Patient	Monthly
ESRD Services for Home Patients	ESRD home patient services per month for patients aged 12-19	90965	Established Patient	Monthly
ESRD Services for Home Patients	ESRD home patient services per month for patients aged 20+	90966	Established Patient	Monthly
ESRD Services Per Day	ESRD services per day for patients <2 years	90967	Established Patient	Daily
ESRD Services Per Day	ESRD services per day for patients aged 2-11	90968	Established Patient	Daily
ESRD Services Per Day	ESRD services per day for patients aged 12-19	90969	Established Patient	Daily
ESRD Services Per Day	ESRD services per day for patients aged 20+	90970	Established Patient	Daily

7. Cardiac and Pulmonary Rehabilitation CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Cardiac Rehabilitation	Cardiac rehabilitation without continuous ECG monitoring	93797	Established Patient	Session-based
Cardiac Rehabilitation	Cardiac rehabilitation with continuous ECG monitoring	93798	Established Patient	Session-based
Pulmonary Rehabilitation Education	Education about pulmonary disease during rehabilitation	G0420	Established Patient	Typically, session-based
Pulmonary Rehabilitation	Pulmonary rehabilitation without exercise	G0421	Established Patient	Typically, session-based
Pulmonary Rehabilitation with Exercise	Pulmonary rehabilitation with exercise	G0422	Established Patient	Typically, session-based
Pulmonary Rehabilitation Follow-Up	Follow-up pulmonary rehabilitation with exercise	G0423	Established Patient	Typically, session-based

8. Complex and Chronic Care Management CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Critical Care Telehealth Consultation	Initial critical care telehealth consultation, typically complex cases	G0508	Medicare Patients	60 minutes
Critical Care Telehealth Consultation	Subsequent critical care telehealth consultation, follow-up	G0509	Medicare Patients	50 minutes
Prolonged Preventive Services	First 30 minutes of prolonged preventive services	G0513	Established Patient	30 minutes
Prolonged Preventive Services	Each additional 30 minutes of prolonged preventive services	G0514	Established Patient	Each additional 30 minutes
Transitional Care Management	Transitional care management services, moderate complexity, within 14 days	99495	Established Patient	Within 14 days of discharge
Transitional Care Management	Transitional care management services, high complexity, within 7 days	99496	Established Patient	Within 7 days of discharge

9. Preventive and Screening Services CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Annual Wellness Visit	Initial annual wellness visit	G0438	Medicare Patients	Session-based
Annual Wellness Visit	Subsequent annual wellness visit	G0439	Medicare Patients	Session-based
Alcohol Misuse Screening	Screening for alcohol misuse	G0442	Established Patient	Typically session-based
Depression Screening	Annual screening for clinical depression	G0444	Established Patient	Typically session-based

10. Substance Abuse and Behavioral Counseling CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Alcohol and/or Substance Abuse Services	Alcohol and/or substance abuse structured screening and brief intervention	G0396	Established Patient	15-30 minutes
Alcohol and/or Substance Abuse Services	Alcohol and/or substance abuse structured screening and brief intervention	G0397	Established Patient	greater than 30 minutes
Office-Based Opioid Treatment	Office-based treatment, includes medication management, first 70 minutes	G2086	Established Patient	70 minutes
Office-Based Opioid Treatment	Office-based treatment, includes medication management, first 60 minutes	G2087	Established Patient	60 minutes
Office-Based Opioid Treatment	Additional 30 minutes of office-based opioid treatment	G2088	Established Patient	Additional 30 minutes

11. Evaluation and Care Management Services CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Complex Patient Management	Visit complexity inherent to evaluation and management	G2211	Established Patient	Session-based
Prolonged Service	Additional 15 minutes of prolonged service time	G2212	Established Patient	Each additional 15 minutes

12. Health Behavior Assessment CPT Codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Care Planning for Cognitive Impairment	Assessment and care planning for a patient with cognitive impairment	99483	New and Established Patients	Typically 60 minutes
Health Behavior Assessment	Health behavior assessment or reassessment	96156	New and Established Patients	Session-based
Health Behavior Intervention	Health behavior intervention, individual, face-to-face, first 30 minutes	96158	New and Established Patients	30 minutes
Health Behavior Intervention	Health behavior intervention, individual, each additional 30 minutes	96159	New and Established Patients	Each additional 30 minutes
Health Behavior Intervention Group	Health behavior intervention, group (2 or more individuals), first 30 minutes	96164	New and Established Patients	30 minutes
Health Behavior Intervention Group	Health behavior intervention, group, each additional 30 minutes	96165	New and Established Patients	Each additional 30 minutes
Health Behavior Intervention Family	Health behavior intervention, family (without patient), first 30 minutes	96167	New and Established Patients	30 minutes
Health Behavior Intervention Family	Health behavior intervention, family (without patient), each additional 30 min	96168	New and Established Patients	Each additional 30 minutes

13. Outpatient Evaluation and Management (E&M) CPT codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Office or Other Outpatient	New patient, level 2 E&M service	99202	New Patient	20 minutes
Office or Other Outpatient	New patient, level 3 E&M service	99203	New Patient	30 minutes
Office or Other Outpatient	New patient, level 4 E&M service	99204	New Patient	45 minutes
Office or Other Outpatient	New patient, level 5 E&M service	99205	New Patient	60 minutes
Office or Other Outpatient	Established patient, level 2 E&M service	99212	Established Patient	10 minutes
Office or Other Outpatient	Established patient, level 3 E&M service	99213	Established Patient	15 minutes
Office or Other Outpatient	Established patient, level 4 E&M service	99214	Established Patient	25 minutes
Office or Other Outpatient	Established patient, level 5 E&M service	99215	Established Patient	40 minutes

14. Inpatient Evaluation and Management (E&M) CPT codes

Service Type	Description	HCPCS/CPT Code	Patient	Time
Inpatient E&M Services	Subsequent hospital care, level 1	99231	Established Patient	15 minutes
Inpatient E&M Services	Subsequent hospital care, level 2	99232	Established Patient	25 minutes
Inpatient E&M Services	Subsequent hospital care, level 3	99233	Established Patient	35 minutes

Best Practices for Accurate Telehealth Billing

Telehealth CPT codes streamline the billing process, making reimbursements smoother and quicker. However, errors can lead to significant financial losses. Being aware of common billing mistakes and taking precautions can prevent disruptions in your practice’s financial cycle.

Before you bill the next patient for a telehealth service, consider the following factors:

Check Patient Eligibility:

Patient eligibility is the top reason for claim denials.

Always verify insurance coverage for telehealth services to avoid unnecessary financial strain.

Choose the Correct Telehealth Billing Codes:

Accuracy in using CPT and HPCPS codes is crucial. For example, CPT code 99442 is for a telephone evaluation lasting 11-20 minutes, while HCPCS code G0256 is for prostate brachytherapy calculation.

Add Modifiers for Telehealth Services:

Modifiers such as GT for telephone consultations and 95 for real-time audio-video visits are essential for classifying telehealth services. Advanced billing software can help identify coding errors and suggest appropriate codes, saving time and reducing mistakes.

Referral Program Automation

Automated referral programs efficiently convert more referrals into actual patients, streamlining the referral process and increasing new patient registrations.

Medical Record Documentation:

Thorough documentation instills confidence in the billing process. Document patient consent, visit date, time, duration, diagnosis and treatment plan discussed during the telehealth encounter.

Common Telehealth Billing Errors & How to Avoid Them

1. Billing for Multiple Telehealth Services

Problem:

Overbilling: Billing multiple services for the same patient in within a specific time period

Solution:

Prevent overbilling effectively by utilizing eligibility verification to closely monitor and analyze the frequency of services provided and billed within specific time frames.

2. Telephone-Only Services

Problem:

des for telephonic visits within a same day. (Add NCCI URL for further reference)

Solution:

When billing multiple E/M services on the same day, ensure each is in a different category and correctly modified. For detailed guidelines, visit the National Correct Coding Initiative (NCCI).

3. Billing for Extra Time:

Problem:

Billing for more time than spent.

Solution:

Use timer features to accurately track visit duration and adopt a policy of rounding down when billing for time-based services. (Incorrect/illegal practice)

The Bottom Line

Staying informed about the latest telehealth CPT codes in 2024 is crucial for maximizing reimbursements and maintaining compliance.

By understanding these codes, implementing best practices, and avoiding common errors, healthcare providers can ensure optimal billing and focus on delivering high-quality virtual care.

Regularly review and update your telehealth billing practices to align with the latest guidelines and regulations.

Telehealth CPT Codes 2024: A Billing Guide for Medical Practitioners

Key Telehealth CPT Codes for 2024

1. Behavioral Health and Psychiatry Services CPT Codes

2. Telehealth and Phone-Based CPT Codes

3. Physical Therapy and Rehabilitation CPT Codes

4. Speech and Audiology Services CPT Codes

5. Nutrition and Obesity Management CPT Codes

6. End-Stage Renal Disease (ESRD) Services CPT Codes

7. Cardiac and Pulmonary Rehabilitation CPT Codes

8. Complex and Chronic Care Management CPT Codes

9. Preventive and Screening Services CPT Codes

10. Substance Abuse and Behavioral Counseling CPT Codes

11. Evaluation and Care Management Services CPT Codes

12. Health Behavior Assessment CPT Codes

13. Outpatient Evaluation and Management (E&M) CPT codes

14. Inpatient Evaluation and Management (E&M) CPT codes

Best Practices for Accurate Telehealth Billing

Check Patient Eligibility:

Choose the Correct Telehealth Billing Codes:

Add Modifiers for Telehealth Services:

Referral Program Automation

Medical Record Documentation:

Common Telehealth Billing Errors & How to Avoid Them

1. Billing for Multiple Telehealth Services

Problem:

Solution:

2. Telephone-Only Services

Problem:

Solution:

3. Billing for Extra Time:

Problem:

Solution:

The Bottom Line

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