Horizon NJ Telemedicine Coding Policy

Another major payor indicates payment for 9939X codes using the proper telemedicine modifiers. PCC’s EDI department also reports payments in full for 9939X-95 procedures.

My concerns remain that the language about how the well visits will avoid being audited (for example) and that 96110/96127 procedures remain off the list for reasons I don’t understand.

Still, good news.

The policy is here. The link to their telemedicine code list is here.