Telehealth Services

80 - Telehealth Services (Rev. 13264, Issued:06-09-25; Effective: 06-02-25; Implementation: 06-02-25) RHCs and FQHCs may bill the Telehealth originating site facility fee on a RHC or FQHC claim under revenue code 0780 and HCPCS code Q3014. Telehealth services are the only services billed on FQHC claims that are subject to the Part B deductible. Additionally, a FQHC payment code and qualifying visit HCPCS code are not required when the only service reported on the claim is for Telehealth services. Before March 27, 2020, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) were not permitted to serve as distant sites for telehealth consultations, meaning they could not bill for these visits or include their costs in the cost report. CMS introduced a new HCPCS code G2025, which allows payment for non-behavioral telehealth services provided when RHCs or FQHCs serve as the distant site. RHCs and FQHCs can temporarily continue offering non-behavioral health visits via telecommunication technology under the existing methodology established during the COVID-19 Public Health Emergency (PHE) until December 31, 2025, or later date if extended. Specifically, they can bill for services delivered through telecommunication technology by using HCPCS code G2025 on claims, which includes services provided through audio-only communications technology until December 31, 2025, or later date if extended. Beginning January 1, 2023, RHCs and FQHCs may report and receive payment for mental health visits furnished via telehealth. These services are billed in the same manner as in-person visits, rather than using HCPCS code G2025. For more information on Telehealth services please see Pub. 100-04, Medicare Claims Processing Manual, Chapter 12, Section 190: http://www.cms.gov/Regulations-and- Guidance/Guidance/Manuals/Downloads/clm104c12.pdf and Pub. 100-02, Medicare Benefit Policy Manual, Chapter 13, Section 200: https://www.cms.gov/regulations-and- guidance/guidance/manuals/downloads/bp102c13.pdf