The Centers for Medicare and Medicaid Services (CMS) announced sweeping new changes to Medicare in response to the COVID-19 emergency, building on the agency’s March 17 actions – designed to further expand telehealth and virtual care for Medicare beneficiaries.
Emergency Department Visits, Levels 1-5 (CPT codes 99281-99285)
Initial and Subsequent Observation and Observation Discharge Day Management (CPT codes 99217- 99220; CPT codes 99224- 99226; CPT codes 99234- 99236)
Initial hospital care and hospital discharge day management (CPT codes 99221-99223; CPT codes 99238- 99239)
Initial nursing facility visits, All levels (Low, Moderate, and High Complexity) and nursing facility discharge day management (CPT codes 99304-99306; CPT codes 99315-99316)
Critical Care Services (CPT codes 99291-99292)
Domiciliary, Rest Home, or Custodial Care services, New and Established patients (CPT codes 99327- 99328; CPT codes 99334-99337)
Home Visits, New and Established Patients, All levels (CPT codes 99341- 99345; CPT codes 99347- 99350)
Inpatient Neonatal and Pediatric Critical Care, Initial and Subsequent (CPT codes 99468- 99473; CPT codes 99475- 99476)
Initial and Continuing Intensive Care Services (CPT code 99477- 994780)
Care Planning for Patients with Cognitive Impairment (CPT code 99483)
Psychological and Neuropsychological Testing (CPT codes 96130- 96133; CPT codes 96136- 96139)
Therapy Services, Physical and Occupational Therapy, All levels (CPT codes 97161- 97168; CPT codes 97110, 97112, 97116, 97535, 97750, 97755, 97760, 97761, 92521- 92524, 92507)
Radiation Treatment Management Services (CPT codes 77427)
For details on these policy changes and more, please closely review the relevant CMS guidance and interim final rule below.
CMS guidance and interim final rule:
CMS has also published provider-specific fact sheets here: