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Date: July 15,2026
8 Minute Rule Frequently Asked Questions and Answers
Medicare’s 8-minute rule remains very confusing not only for therapists and assistants, but also for billers, practice managers, owners of private practices, and facility directors and administrators. That is why I have created an extensive frequently asked questions (FAQs) page dedicated to the 8-minute rule.
This 8-minute rule FAQ page will provide you answers to some of the most common questions I receive regarding this topic. Questions answered include, but are not limited to:
- To which insurer(s) did the 8 minute rule apply to when implemented?
- Does the 8 minute rule automatically apply to Medicare Advantage insurers?
- Does the 8 minute rule automatically apply to Medicaid and Managed Medicaid insurers?
- Does the 8 minute rule automatically apply to all federal insurances?
- Who are some of the larger or national insurers that have implemented the 8 minute rule?
- To which CPT codes does the 8 minute rule apply to?
- To which settings does the 8 minute rule apply to?
- Does the 8 minute rule apply to each visit done on a single day by a discipline or if seen twice on the same day, applies to both visits combined?
- If Medicare is secondary, must I follow the 8 minute rule requirement?
To read the answers to the above questions, click HERE.
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.
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Thanks for the info. We are in MD and bill out BCBS Anthem through our local BCBS. Does this mean we may not need to follow the 8 min rule for patients with Anthem?
Please read the answer to the question of who are some larger insurers that follow the 8-minute rule.
I saw Anthem goes by the 8 min rule, but was wondering if that was still the case if we bill them under local BCBS? Would that change anything?
You would need to know what your local BCBS requires and who is paying the claim.