Yesterday, the Centers for Medicare and Medicaid Services (CMS) issued a rulemaking that includes significant additional coverage for telemedicine services.
Buried in an almost 1200-page rulemaking about 2015 Medicare payments to physicians and practitioners were provisions paying for remote chronic care management using a new current procedural terminology (CPT) code, 99490, with a monthly unadjusted, non-facility fee of $42.60. Also, Medicare will pay for remote-patient monitoring of chronic conditions with a monthly unadjusted, non-facility fee of $56.92 using CPT code 99091.
Prior to this, Medicare did not pay separately for such services, requiring that such billing be bundled with an "evaluation and management" code. Also in the rulemaking were seven new covered procedure codes for telehealth including annual wellness visits, psychotherapy services, and prolonged services in the office.
"It has been a long time coming, but this rulemaking signals a clear and bold step in the right direction for Medicare," added Linkous. "This allows providers to use telemedicine technology to improve the cost and quality of healthcare delivery."