North Carolina
Medicare Advantage / BCBS of North Carolina
Commercial / BCBS of North Carolina
Medicare Advantage / Healthteam Advantage HMO
Medicare Advantage / Lasso Healthcare Medicare Advantage
Medicare Advantage / Liberty Advantage HMO
Medicare Advantage / BCBS of North Carolina
| Last Checked Date | 7/27/20 | 7/27/20 |
|---|---|---|
| CPT Codes | 99201-99215 | 99441-99443 |
| Communication Type | Video required | Telephone call allowed- Video not required |
| Type of Service | Office or other outpatient visits | Telephonic encounter (Virtual Check- in) |
| POS | 11 | 11 |
| Modifier | 95 or CS,95 | Blank or CS |
| Additional Notes | Follows CMS medicare guideline. Please add CS modifer for covid related services | Follows CMS medicare guideline. Please add CS modifer for covid related services |
| Cost sharing for Telemedicine | Waived for Covid only | Waived for Covid only |
| Policy Termination Date | 03/06/2020-12/31/2020 | 03/06/2020-12/31/2020 |
| Policy Link/Update Link | Click Here | Click Here |
| Additional Policy PDF | Click Here | Click Here |
Commercial / BCBS of North Carolina
| Last Checked Date | 7/27/20 | 7/27/20 |
|---|---|---|
| CPT Codes | 99201-99215 | 99441-99443 |
| Communication Type | Telephone call allowed- Video not required | Telephone call allowed- Video not required |
| Type of Service | Office or other outpatient visits | Telephonic encounter (Virtual check- in) |
| POS | 2 | 2 |
| Modifier | Blank or CR | Blank |
| Additional Notes | Need to included CR modifier if service is performed via audio only effective Aug. 1, 2020, providers should use the -CS modifier to indicate any COVID-19 testing-related services that result in an order for or administration of a COVID-19 test | Need to included CR modifier if service is performed via audio only effective Aug. 1, 2020, providers should use the -CS modifier to indicate any COVID-19 testing-related services that result in an order for or administration of a COVID-19 test |
| Cost sharing for Telemedicine | Waived For Covid Only | Waived For Covid Only |
| Policy Termination Date | 03/06/2020-12/31/2020 | 03/06/2020-12/31/2020 |
| Policy Link/Update Link | Click Here | Click Here |
| Additional Policy PDF | Click Here | Click Here |
Medicare Advantage / Healthteam Advantage HMO
| Last Checked Date | 7/27/20 | 7/27/20 | 7/27/20 |
|---|---|---|---|
| CPT Codes | 99211-99215 | 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; Virtual check-in | Office or other outpatient visits; Virtual check-in | Office or other outpatient visits; Virtual check-in |
| POS | 2 | 2 | 2 |
| Modifier | Blank | Blank | Blank |
| Additional Notes | Termination date may be extended | Termination date may be extended | Termination date may be extended |
| Cost sharing for Telemedicine | Waived | Waived | Waived |
| Policy Termination Date | 03/16/2020-end of the declared Public Health Emergency. | 03/16/2020-end of the declared Public Health Emergency. | 03/16/2020-end of the declared Public Health Emergency. |
| Policy Link/Update Link | Click Here | Click Here | Click Here |
| Additional Policy PDF |
Medicare Advantage / Lasso Healthcare Medicare Advantage
| Last Checked Date | 7/27/20 |
|---|---|
| CPT Codes | No Update yet |
| Communication Type | |
| Type of Service | |
| POS | |
| Modifier | |
| Additional Notes | Check with payer |
| Cost sharing for Telemedicine | Check with payer |
| Policy Termination Date | |
| Policy Link/Update Link | |
| Additional Policy PDF |
Medicare Advantage / Liberty Advantage HMO
| Last Checked Date | 7/27/20 |
|---|---|
| CPT Codes | 99201-99215 |
| Communication Type | Video required |
| Type of Service | Office or other outpatient visits; Virtual check-in |
| POS | 11 |
| Modifier | 95 |
| Additional Notes | Follows Medicare guideline |
| Cost sharing for Telemedicine | Waived for Covid Only |
| Policy Termination Date | Not available |
| Policy Link/Update Link | Click Here |
| Additional Policy PDF |
State Telemedicine Policy
