December 11, 2024

For FY 2025 CPT has deleted the following audio only codes. 

 99441 Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment: 5-10 minutes of medical discussion


  99442 Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment: 11-20 minutes of medical discussion


 99443 Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment: 21-30 minutes of medical discussion

 

CPT has created 16 new telehealth codes (98000-98016). But at this time per the Federal Register to be published on 12/9/2024 Medicare does not plan to recognize these codes. CMS plans to assign payment status code “I” ) Not valid for Medicare purposes) to these codes. 1


Therefore, for evaluation and management (E/M) visits performed over telehealth, you’ll continue to use the existing E/M codes, such as 99202- 99215 for Medicare payers. It’s unclear which private payers – if any- do plan to recognize 98000-98016 in 2025. 

 

**Most insurers will be issuing their 2025 coverage guidelines in coming weeks. 2

 

 

1. Federal Register :: Public Inspection: Medicare and Medicaid Programs: Calendar Year 2025 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; Medicare Overpayments


2. 2025 Medicare Fee Schedule Targets Telehealth, Advanced Primary Care Management



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