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Blue Shield of California Telehealth Update

COVID-19

Blue Shield of California Telehealth Update

Blue Shield of California shared the following telehealth update on its website here.

Ancillary Services

How should I code for professional ancillary care telehealth visits?
For services provided to Blue Shield members, professional and ancillary providers should bill for sessions that do not require hands-on care by indicating the appropriate CPT / HCPCS code for the service(s) they provided. This may include the use of evaluation and management (E&M) codes, telehealth or telephone services. We ask that you continue documenting the services provided and indicating “02” for place of service.

How should I bill for physical therapy and occupational therapy that is not hands-on, via telehealth?
Providers who are contracted with Blue Shield should use the same billing codes for all professional and ancillary services described above for non-hands-on services, using the correct CPT codes, clearly documenting the services provided, and indicating an “02” for place of service.

Physical therapy (PT), occupational therapy (OT), speech therapy (SP), and registered nurse dietitian nutritionist services can all be provided via telehealth, limited to services that are not “hands-on” and can be provide remotely.

Examples of common CPT codes that fall into this category: PT – 97110, OT – 97530, SP – 92507. Guidelines for ancillary services that can be offered remotely are also available from the CPT 2020 Professional Edition, AMA, Chicago 2020, page 40.

CPTA is actively seeking clarification of coverage for all other payers.

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