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Aetna Announces Telehealth Coverage


Aetna Announces Telehealth Coverage

Aetna will reimburse physical therapy telehealth services provided by qualified health care professionals. State laws and regulations apply. Benefits will be processed in accordance with the member’s plan. For out-of-network providers, please contact Aetna to confirm if the member's plan benefits allow telehealth services.

Aetna’s expansion of telehealth services to include outpatient physical, occupational and speech therapy services was due to expire on June 4, 2020. Due to the continued COVID-19 Public Health Emergency, Aetna will now cover outpatient physical, occupational and speech therapy delivered via telehealth until August 4, 2020. Cost share waivers for covered telemedicine services will expire on June 4, 2020, except for Behavioral Health services, which will continue at no cost to members until September 30, 2020.

Aetna will cover CPT codes 97161, 97162, 97163, 97164, 97110, 97112, 97116, 97535, 97755, 97760, and 97761. The telehealth care must be provided as a two-way synchronous (real-time) audiovisual service.

Providers are required to append the GT modifier to the codes.

For telehealth services delivered by institution-based physical therapists they may be billed on a UB04 claim form using modifier GT or 95.

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