BCBS to continue telehealth

Please note, call on the policy to confirm the particular policy the patient has does cover telemedicine. A lot of self-funded policies do not cover telemedicine as of 6/30/2020

https://providernews.anthem.com/georgia/article/information-from-anthem-for-care-providers-about-covid-19-4

What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies?

Effective March 17 through September 13, 2020, Anthem will waive member cost shares for telehealth visits for the following physical, occupational and speech therapies for visits coded with Place of Service (POS) “02” and modifier 95 or GT:

• Physical therapy (PT) evaluation codes 97161, 97162, 97163, and 97164

• Occupational (OT) therapy evaluation codes 97165, 97166, 97167, and 97168

• PT/OT treatment codes 97110, 97112, 97530, and 97535

• Speech therapy (ST) evaluation codes 92521, 92522, 92523, and 92524

• ST treatment codes 92507, 92526, 92606, and 92609

PT/OT codes that require equipment and/or direct physical hands-on interaction and therefore are not appropriate via telehealth include: 97010-97028, 97032-97039, 97113-97124, 97139 - 97150, 97533, and 97537-97546.