We are FQHC Pediatric practice in rural Illinois…since we bill a global “per visit” instead of individual CPT codes to reflect the work done during the visit, should we expect to get paid the global rate if we do a telemedicine visit? If not, should we bill the appropriate CPT codes for the TM visit?
In general, telemedicine visits are not considered “qualified visits” for facilities paid under a prospective payment system (like FQHCs and RHCs), because they are not face-to-face.
What is confusing is that now 9921x (which are on the list of qualifying services) can now be billed with modifier -95. Unfortunately, while the code is on the list, they are still not face-to-face.