With many states mandating insurance plans in their state expand telehealth services and reimbursement to include physical therapy (PT), occupational therapy (OT) and speech therapy (ST) as well as several insurances expanding telehealth services and reimbursement on their own, I am being asked what CPT code(s) do I use to bill for telehealth services for physical, occupational and/or speech therapy services. The answer is the one that you do not like. It is insurance carrier specific and you have to check with each insurance carrier and yes, this includes workers compensation. Codes that I am commonly seeing insurance companies mention

On March 26, 2020, at 11:00pm CDT, Unitedhealthcare (UHC) posted the following announcement on their website:

On March 15, 2020, Massachusetts Governor Charles D. Baker issued an order expanding access to telehealth services and to protect healthcare providers. This order requires all Commercial Health Insurers, Blue Cross and Blue Shield of Massachusetts, and Health Maintenance Organizations regulated by the Division of Insurance, are hereby required to allow all in-network providers to deliver clinically appropriate, medically necessary covered services to members via telehealth. Click HERE to access this order. Click HERE to access the Massachusetts Physical Therapy Association COVID-19 Resource Center.

The state of Alaska has released the following Notice: Notice of the Department of Commerce, Community, and Economic Development announces the issuance of Bulletin 20-07 to insurers regarding changes to telehealth coverage standards that are the result of emergency legislation, effective March 17, 2020. The new law may be found at: http://www.legis.state.ak.us/basis/start.asp  . Enter the bill number HB29 to find the full text and legislative history of the bill. You may obtain a copy of the bill by contacting the Alaska Legislative Information Office. Please note that this bill has an IMMEDIATE effective date of 3/17/2020. The bill revises AS 21.42.422 to expand telehealth

On March 26, 2020, South Carolina Blue Cross Blue Shield (BCBS) posted Frequently Asked Questions (FAQs) regarding COVID-19. You will want to read question #14 as this pertains to physical therapists, occupational therapists, and speech-language pathologists. Here is the Question and Answer: Can physical therapists, occupational therapists, and speech therapists file for telephone visits?Yes, we will accept claims for physical therapy, occupational therapy, and speech therapy, using the following codes: • 98966: Telephonic Assessment and Management services provided by a qualified non-physician health care professional to an established patient; 5-10 minutes of medical discussion • 98967: Telephonic Assessment and Management

On March 3, 2020, New York State Department of Financial Services issued Insurance Circular Letter No. 3 (2020) to All Insurers Authorized to Write Accident and Health Insurance in New York State, Article 43 Corporations, Health Maintenance Organizations, Student Health Plans Certified Pursuant to Insurance Law § 1124, and Municipal Cooperative Health Benefit Plans. The letter goes on to state the following: “Issuers are reminded that Insurance Law §§ 3217-h and 4306-g and Public Health Law § 4406-g prohibit issuers from excluding a service that is otherwise covered under a comprehensive health insurance policy or contract because the service is

Florida Medicaid has expanded telehealth coverage to the following: • Behavior analysis services • Therapy services • Specified behavioral health services • Early intervention services Click HERE to access the article.

Per the Nebraska (NE) Physical Therapy Association, Blue Cross Blue Shield (BCBS) of Nebraska has made the decision to adjust their telehealth policy to cover Physical, Speech and Occupational therapy services . BCBS NE will accept telehealth charges from any credentialed provider with no video component required during this pandemic urgency period. An announcement will be place on our Happening Now section of our webpage later this today. Here is the link to our Happening Now section that will be updated: https://www.nebraskablue.com/Providers/Alerts-and-Updates/Happening-Now A provider may bill using E&M codes, therapy codes or telehealth codes and must use the modifier 95 and