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Insurance Reimbursement for TeleMental Health:

Telemedicine, Including TeleMental Health, Codes for ‘Modifier',
CPT Codes, and Place of Service

By Ofer Zur, Ph.D.
 

This page is part of an online CE course
TeleMental Health: The New Standard - Ethical, Legal, Clinical, Technological, and Practice Considerations

 

Note: It is very important to check with the insurance plan to determine whether telemental health services are covered and, if they are, which codes or modifer should be used to cover different types of telemental health services.  It is very important to check directly with the insurance company because the coverage for telemental health services continues to evolve, change and modified.


For 2018 update on billing codes including Telehelth CPT Codes:

For updated billing and CPT info


Eligibility for Reimbursement for TeleMental Health

It is very important to check with the insurance plan to see whether telemental health services are covered and, if they are, which code should be used for the type of service provided.

Note that Medicare is one of the largest payers for telehealth services, especially those delivered to Medically Underserved Areas (MUAs.)

EAP services through TeleMental Health

A large number of EAP programs actively recruit telemental health practitioners to supply EAP services remotely. To find these programs, you can contact major employers in your area or inquire with your local chapter of the Employee Assistance Professionals Association (EAPA.)

For updates and more information

The American Medical Association revises coding manual for 2017

Additional resources regarding Insurance, Billing, Reimbursement & CPT Codes in E-Therapy & TeleMental Health

 
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