DRCHSD Medicare and Medicaid State-Specific COVID-19 Telehealth Billing and Coding Guidelines Resource

May 2022
Author: 
The National Rural Health Resource Center,
BKD LLP

This resource created for the DRCHSD program by BKD, LLP includes COVID-19 Medicare and state-specific Medicaid telehealth and virtual communication coding and billing guidelines for hospital and clinic settings. It is an excel workbook, which can be utilized to manage current billing guidelines as well as any changes that may occur in the coming months. 

COVID-19 telehealth and virtual communication billing guidelines for Medicare and Medicaid plans are included for each of the following states:

  • Alabama
  • Arkansas
  • Kentucky
  • Illinois
  • Louisiana
  • Missouri
  • Mississippi
  • Tennessee

The interactive tool outlines Medicare and state-specific Medicaid telehealth and virtual communication billing guidelines that include the following data elements:

  • Links to Medicare COVID-19 billing source documents
  • Links to State Medicaid COVID-19 billing source documents
  • CPT or HCPCS codes
  • ICD-10-CM diagnosis codes
  • Documentation requirements 
  • Modifiers
  • CMS-1500 claim place of service (POS) codes
  • UB-04 claim revenue code(s)
  • Eligible telehealth or virtual communication service(s)

The information is current as of May 22, 2020, and will not be updated by either BKD or the Center going forward. This resource was developed for the Delta Regional Community Health Services Development (DRCHSD) Program.