U.S. flag

An official website of the United States government


Billing Medicare as a safety-net provider

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) can bill Medicare for telehealth services through December 31, 2024.


Reimbursement policies for RHCs and FQHCs

Any service that Medicare has approved to be furnished via telehealth can be provided by an FQHC or RHC through December 31, 2024.

Services include:

  • RHCs and FQHCs can bill Medicare for telehealth services as distant site providers.
  • Patients can receive telehealth services in their home.
  • Virtual communication services are covered, including online digital evaluation and management, which are broadly defined as digital communications that are patient-initiated using a secure patient portal. Note, virtual communication services are reimbursed at a different rate since they are not defined as telehealth services by the Centers for Medicare & Medicaid Services. See virtual communication billing codes for RHCs and FQHCs below for more details.

Did you know?

Audio-only visits for telebehavioral health services (PDF) in Rural Health Clinics and Federally Qualified Health Centers have been codified into the Medicare Physician Fee Schedule as of January 1, 2022. You may use audio-only for telebehavioral health in situations where your patient cannot access or does not consent to an audio-visual visit.


Telehealth codes for RHCs and FQHCs

Use the following Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes:

HCPCS codeG2025
Revenue code052X
Reimbursement rate

$95.27 for claims submitted between January 1, 2024- December 31, 2024.

$98.27 for claims submitted between January 1, 2023-December 31, 2023.

$97.24 for claims submitted between January 1, 2022-December 31, 2022.

$99.45 for claims submitted from January 1, 2021-December 31, 2021.

$92.03 for claims submitted from January 27, 2020-December 31, 2020.


Virtual communication billing codes for RHCs and FQHCs

Providers must submit an RHC or FQHC claim with HCPCS code G0071 (Virtual Communication Services) either alone or with other payable services. The codes are listed below for other payable services:

HCPCS code for virtual check-in G2012
HCPCS code for remote evaluation of recorded videos or images G2010
CPT codes for online digital evaluation and management

99421 (5-10 minutes over a 7-day period)

99422 (11-20 minutes over a 7-day period)

99423 (21 minutes or more over a 7-day period)

Reimbursement rate

$23.14 for claims submitted between January 1, 2023-December 31, 2023

$23.88 for claims submitted between January 1, 2022-December 31, 2022

$24.76 for claims submitted between January 1, 2021-December 31, 2021


More information about safety-net provider billing

For more details about billing as an RHC or FQHC: