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Telehealth and cancer care

Billing for cancer care via telehealth

Learn about policies and reimbursement for telehealth services.

Medicare

Medicare policies for telehealth continue to evolve. For the latest information, view the list of telehealth services. The following Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes are frequently used to bill for telehealth services. Coding guidance is subject to change.

CPT/HCPCs codeDescriptionTimeAudio-only coveragePermanent coverage for telehealth
77427Radiation oncology treatment managementN/ANoNo
99211Outpatient visit, established patient5 minNoYes
99212Outpatient visit, established patient10-19 minNoYes
99213Outpatient visit, established patient20-29 minNoYes
99214Outpatient visit, established patient30-39 minNoYes
99215Outpatient visit, established patient40-55 minNoYes
G0506Comprehensive assessment care planN/AYesYes
G2212Prolonged outpatient treatmentAdditional 15 minYesYes

Medicaid

Each state has its own billing and reimbursement policies. For tips on Medicaid policies, visit Medicaid and Medicare overview.

Private insurance

Find out if the patient has private insurance. If so, check with the patient's insurance company for information on their billing and reimbursement policies. For tips on private insurance policies, look up policy by jurisdiction.

More information:

Billing for Providers- What should I know? (PDF)— Health Resources and Services Administration

Billing for telehealth — Health Resources and Services Administration

Medicare and Medicaid policies — Health Resources and Services Administration

Medicare payment policies — Health Resources and Services Administration

Telehealth policy — Health Resources and Services Administration

Understanding telehealth policy — National Telehealth Policy Resource Center