Latest updates March 23, 2020
Telemedicine (video + audio) :
For 90 days effective March 17, 2020
- no member cost sharing for telemedicine visits, including covered visits for mental health and substance use disorders. This applies to use of our LiveHealth Online platform, as well as for care received from other providers delivering virtual care through internet video + audio services.
Telehealth (Telephonic/FaceTime care)
Effective March 19, 2020, Empire began waiving member cost sharing for telehealth visits (by phone or FaceTime/Skype) with in-network providers, including covered visits for mental health and substance use disorders and medical services. Cost sharing is waived for in-network providers only and applies where medically appropriate if all other requirements for a covered health service are met.
How to Code Visits:
- Office visit (99201-99215) telehealth claims will require Place of Service (POS) code “02” and either modifier 95 or GT.
- Audio-only telephonic codes 99441, 99442, 99443, 98966, 98967, 98968 do not require a telehealth modifier to be appended. Place of service would be the location where the provider initiates such a call.