Maryland
Commercial / CareFirst BCBS
Commercial / CareFirst BCBS
| Last Checked Date | 7/20/20 | 7/20/20 | 7/20/20 |
|---|---|---|---|
| CPT Codes | 99201-99215 | 99241-99245 | 99441 Only |
| Communication Type | Video required | Video required | Telephone call allowed- Video not required |
| Type of Service | Office or other outpatient visits | Office or other outpatient visits | Telephonic encounter (Virtual check-in) |
| POS | 2 | 2 | 11 |
| Modifier | GT or 95 | GT or 95 | Blank |
| Additional Notes | Through July 24, providers are encouraged not to collect member cost sharing for these services. If a member does owe a copay or coinsurance after the claim is processed, you can bill the member as you do for all other claims. For these purposes we’ve defined telemedicine as a combination of interactive audio and video. Please note, CareFirst will continue to waive cost sharing for in-network or out-of-network visits to a provider’s office, including telemedicine, related to diagnosis and treatment of COVID-19 through September 30. | Through July 24, providers are encouraged not to collect member cost sharing for these services. If a member does owe a copay or coinsurance after the claim is processed, you can bill the member as you do for all other claims. For these purposes we’ve defined telemedicine as a combination of interactive audio and video. Please note, CareFirst will continue to waive cost sharing for in-network or out-of-network visits to a provider’s office, including telemedicine, related to diagnosis and treatment of COVID-19 through September 30. | After July 24, CareFirst will no longer reimburse for CPT code 99441. CareFirst will pay a $20 flat fee for CPT 99441.* We selected this code for all phone visits, regardless of the amount of time. This is in effect through the duration of the pandemic. |
| Cost sharing for Telemedicine | Waived | Waived | Waived |
| Policy Termination Date | 03/16/2020-Till public health emergency | 03/16/2020-Till public health emergency | 03/16/2020-Till public health emergency |
| Policy Link/Update Link | Click Here | Click Here | Click Here |
| Additional Policy(PDF) | Click Here | Click Here | Click Here |
State Telemedicine Policy
