Telehealth Code Updates

NEW CODE FOR TELEHEALTH SERVICES (EFFECTIVE DATE JANUARY 1, 2022)

The POS Workgroup is revising the description of POS code 02 and creating a new POS code 10 to meet the overall industry needs, as follows:

1. POS 02: Telehealth Provided Other than in Patient’s Home Descriptor: The location where health services and health-related services are provided or received, through telecommunication technology. The patient is not located in their home when receiving health services or health-related services through telecommunication technology.

2. POS 10: Telehealth Provided in Patient’s Home Descriptor: The location where health services and health-related services are provided or received through telecommunication technology. The patient is located in their home (which is a location other than a hospital or other facility where the patient receives care in a private residence) when receiving health services or health-related services through telecommunication technology. Medicare hasn’t identified a need for a new POS code 10. Our MACs will instruct their providers.

Initially, there may be a problem with billing but resubmit if there is a problem with claims.

EFFECTIVE DATE: January 1, 2022, *Unless otherwise specified, the effective date is the date of service.

 IMPLEMENTATION DATE: April 4, 2022