New Mexico
Medicare Advantage / Amerivantage HMO
Medicare Advantage / BCBS of New Mexico
Commercial / BCBS of New Mexico
Medicare Advantage / Amerivantage HMO
| Last Checked Date | 7/20/20 | 7/20/20 |
|---|---|---|
| CPT Codes | 99201-99215 | 99441-99443 |
| Communication Type | Video required | Telephone call allowed- Video not required |
| Type of Service | Office or other outpatient visits | Telephone call allowed- Video not required |
| POS | 2 | 2 |
| Modifier | GT or 95 | Blank |
| Additional Notes | Effective from March 17, 2020, through September 30, 2020, Amerigroup health plans will waive member cost shares for telehealth visits, including visits for annual wellness visits, mental health or substance use disorders, for our Medicare Advantage plans. For out-of-network providers, Amerigroup is waiving cost shares from March 17, 2020, through 09/30/2020 Cost sharing will be waived for members using our authorized telemedicine service, LiveHealth Online, and for telehealth received from other providers delivering virtual care through internet video and audio services. | |
| Cost sharing for Telemedicine | Waived | Waived |
| Policy Termination Date | 03/17/2020-09/30/2020 | 03/19/2020-09/30/2020 |
| Policy Link/Update Link | Click Here | Click Here |
| Additional Policy PDF | Click Here | Click Here |
Medicare Advantage / BCBS of New Mexico
| Last Checked Date | 7/20/20 | 7/20/20 | 7/20/20 |
|---|---|---|---|
| CPT Codes | 99201-99215 | 99441-99443 | G2012 |
| Communication Type | Video required | Telephone call allowed- Video not required | Telephone call allowed- Video not required |
| Type of Service | Office or other outpatient visits | Office or other outpatient visits | Office or other outpatient visits |
| POS | 11 or 02 | 11 or 02 | 11 or 02 |
| Modifier | 95 or GT | Blank | Blank |
| Additional Notes | Note: if a claim is submitted using place of service (POS) 02 or a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier. | Note: if a claim is submitted using place of service (POS) 02 or a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes requirethe modifier. | Note: if a claim is submitted using place of service (POS) 02 or a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier. |
| Cost sharing for Telemedicine | Waived | Waived | Waived |
| Policy Termination Date | 03/06/2020- Not available | 03/09/2020 – Not available | 03/09/2020 – Not available |
| Policy Link/Update Link | Click Here | Click Here | Click Here |
| Additional Policy PDF | Click Here | Click Here | Click Here |
Commercial / BCBS of New Mexico
| Last Checked Date | 7/20/20 | 7/20/20 | 7/20/20 |
|---|---|---|---|
| CPT Codes | 99201-99215 | 99441-99443 | G2012 |
| Communication Type | Telephone call allowed- Video not required | Telephone call allowed- Video not required | Telephone call allowed- Video not required |
| Type of Service | Office or other outpatient visits | Office or other outpatient visits | Office or other outpatient visits |
| POS | Does not specify | Does not specify | Does not specify |
| Modifier | 95 or GT | Blank | Blank |
| Additional Notes | Effective March 9, 2020, BCBSNM began providing access to telehealth services at no cost-share with in-network providers for fully-insured members for health care services for all medically necessary, covered services and treatments consistent with the terms of the member’s benefit plan. If a claim is submitted using a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier. | Effective March 9, 2020, BCBSNM began providing access to telehealth services at no cost-share with in-network providers for fully-insured members for health care services for all medically necessary, covered services and treatments consistent with the terms of the member’s benefit plan. If a claim is submitted using a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier. | Effective March 9, 2020, BCBSNM began providing access to telehealth services at no cost-share with in-network providers for fully-insured members for health care services for all medically necessary, covered services and treatments consistent with the terms of the member’s benefit plan. If a claim is submitted using a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier. |
| Cost sharing for Telemedicine | Waived | Waived | Waived |
| Policy Termination Date | 03/09/2020-Not available | 03/09/2020-Not available | 03/09/2020-Not available |
| Policy Link/Update Link | Click Here | Click Here | Click Here |
| Additional Policy PDF |
State Telemedicine Policy
