Reimbursement policy update: Virtual Visits - professional and facility

Beginning with dates of service on or after January 1, 2022, Empire BlueCross BlueShield’s (“Empire”) Virtual Visits commercial reimbursement policy will be updated to add the following:

• Place of service 10 (telehealth provided in patient’s home)
• Place of service 02 (telehealth provided other than in patient’s home)

 

Services reported by a professional provider with a place of service 02 or 10 will be eligible for non-office place of service reimbursement.

 

These correct coding updates align with the telehealth place of service updates released by the Centers for Medicare & Medicaid Services (CMS).

 

Additionally, the Related Coding section of the policy is updated to clarify that for Q3014, the member must be physically present in the originating facility.

 

For more information about this policy, visit the Reimbursement Policy page at empireblue.com/provider.

 

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