| CY 2026 Proposed List of Medicare Telehealth Services |
| HCPCS |
Short Descriptor |
Proposed Action |
| 0362T |
Bhv id suprt assmt ea 15 min |
Maintain |
| 0373T |
Adapt bhv tx ea 15 min |
Maintain |
| 0591T |
Hlth&wb coaching indiv 1st |
Maintain |
| 0592T |
Hlth&wb coaching indiv f-up |
Maintain |
| 0593T |
Hlth&wb coaching indiv group |
Maintain |
| 77427 |
Radiation tx management x5 |
Maintain |
| 90785 |
Psytx complex interactive |
Maintain |
| 90791 |
Psych diagnostic evaluation |
Maintain |
| 90792 |
Psych diag eval w/med srvcs |
Maintain |
| 90832 |
Psytx w pt 30 minutes |
Maintain |
| 90833 |
Psytx w pt w e/m 30 min |
Maintain |
| 90834 |
Psytx w pt 45 minutes |
Maintain |
| 90836 |
Psytx w pt w e/m 45 min |
Maintain |
| 90837 |
Psytx w pt 60 minutes |
Maintain |
| 90838 |
Psytx w pt w e/m 60 min |
Maintain |
| 90839 |
Psytx crisis initial 60 min |
Maintain |
| 90840 |
Psytx crisis ea addl 30 min |
Maintain |
| 90845 |
Psychoanalysis |
Maintain |
| 90846 |
Family psytx w/o pt 50 min |
Maintain |
| 90847 |
Family psytx w/pt 50 min |
Maintain |
| 90849 |
Multiple family group psytx |
Addition |
| 90853 |
Group psychotherapy |
Maintain |
| 90875 |
Psychophysiological therapy |
Maintain |
| 90901 |
Biofeedback train any meth |
Maintain |
| 90951 |
Esrd serv 4 visits p mo <2yr |
Maintain |
| 90952 |
Esrd serv 2-3 vsts p mo <2yr |
Maintain |
| 90953 |
Esrd serv 1 visit p mo <2yrs |
Maintain |
| 90954 |
Esrd serv 4 vsts p mo 2-11 |
Maintain |
| 90955 |
Esrd srv 2-3 vsts p mo 2-11 |
Maintain |
| 90956 |
Esrd srv 1 visit p mo 2-11 |
Maintain |
| 90957 |
Esrd srv 4 vsts p mo 12-19 |
Maintain |
| 90958 |
Esrd srv 2-3 vsts p mo 12-19 |
Maintain |
| 90959 |
Esrd serv 1 vst p mo 12-19 |
Maintain |
| 90960 |
Esrd srv 4 visits p mo 20+ |
Maintain |
| 90961 |
Esrd srv 2-3 vsts p mo 20+ |
Maintain |
| 90962 |
Esrd serv 1 visit p mo 20+ |
Maintain |
| 90963 |
Esrd home pt serv p mo <2yrs |
Maintain |
| 90964 |
Esrd home pt serv p mo 2-11 |
Maintain |
| 90965 |
Esrd home pt serv p mo 12-19 |
Maintain |
| 90966 |
Esrd home pt serv p mo 20+ |
Maintain |
| 90967 |
Esrd svc pr day pt <2 |
Maintain |
| 90968 |
Esrd svc pr day pt 2-11 |
Maintain |
| 90969 |
Esrd svc pr day pt 12-19 |
Maintain |
| 90970 |
Esrd svc pr day pt 20+ |
Maintain |
| 92002 |
Eye exam new patient |
Maintain |
| 92004 |
Eye exam new patient |
Maintain |
| 92012 |
Eye exam establish patient |
Maintain |
| 92014 |
Eye exam&tx estab pt 1/>vst |
Maintain |
| 92507 |
Speech/hearing therapy |
Maintain |
| 92508 |
Speech/hearing therapy |
Maintain |
| 92521 |
Evaluation of speech fluency |
Maintain |
| 92522 |
Evaluate speech production |
Maintain |
| 92523 |
Speech sound lang comprehen |
Maintain |
| 92524 |
Behavral qualit analys voice |
Maintain |
| 92526 |
Oral function therapy |
Maintain |
| 92550 |
Tympanometry & reflex thresh |
Maintain |
| 92552 |
Pure tone audiometry air |
Maintain |
| 92553 |
Audiometry air & bone |
Maintain |
| 92555 |
Speech threshold audiometry |
Maintain |
| 92556 |
Speech audiometry complete |
Maintain |
| 92557 |
Comprehensive hearing test |
Maintain |
| 92563 |
Tone decay hearing test |
Maintain |
| 92565 |
Stenger test pure tone |
Maintain |
| 92567 |
Tympanometry |
Maintain |
| 92568 |
Acoustic refl threshold tst |
Maintain |
| 92570 |
Acoustic immitance testing |
Maintain |
| 92587 |
Evoked auditory test limited |
Maintain |
| 92588 |
Evoked auditory tst complete |
Maintain |
| 92601 |
Cochlear implt f/up exam <7 |
Maintain |
| 92602 |
Reprogram cochlear implt <7 |
Maintain |
| 92603 |
Cochlear implt f/up exam 7/> |
Maintain |
| 92604 |
Reprogram cochlear implt 7/> |
Maintain |
| 92607 |
Ex for speech device rx 1hr |
Maintain |
| 92608 |
Ex for speech device rx addl |
Maintain |
| 92609 |
Use of speech device service |
Maintain |
| 92610 |
Evaluate swallowing function |
Maintain |
| 92622 |
Dx aly aud oi snd prcsr 1st |
Addition |
| 92623 |
Dx aly aud oi snd prcsr each |
Addition |
| 92625 |
Tinnitus assessment |
Maintain |
| 92626 |
Eval aud funcj 1st hour |
Maintain |
| 92627 |
Eval aud funcj ea addl 15 |
Maintain |
| 93750 |
Interrogation vad in person |
Maintain |
| 93797 |
Cardiac rehab |
Maintain |
| 93798 |
Cardiac rehab/monitor |
Maintain |
| 94002 |
Vent mgmt inpat init day |
Maintain |
| 94003 |
Vent mgmt inpat subq day |
Maintain |
| 94004 |
Vent mgmt nf per day |
Maintain |
| 94005 |
Home vent mgmt supervision |
Maintain |
| 94625 |
Phy/qhp op pulm rhb w/o mntr |
Maintain |
| 94626 |
Phy/qhp op pulm rhb w/ mntr |
Maintain |
| 94664 |
Evaluate pt use of inhaler |
Maintain |
| 95970 |
Alys npgt w/o prgrmg |
Maintain |
| 95971 |
Alys smpl sp/pn npgt w/prgrm |
Maintain |
| 95972 |
Alys cplx sp/pn npgt w/prgrm |
Maintain |
| 95983 |
Alys brn npgt prgrmg 15 min |
Maintain |
| 95984 |
Alys brn npgt prgrmg addl 15 |
Maintain |
| 96105 |
Assessment of aphasia |
Maintain |
| 96110 |
Developmental screen w/score |
Maintain |
| 96112 |
Devel tst phys/qhp 1st hr |
Maintain |
| 96113 |
Devel tst phys/qhp ea addl |
Maintain |
| 96116 |
Nubhvl xm phys/qhp 1st hr |
Maintain |
| 96121 |
Nubhvl xm phy/qhp ea addl hr |
Maintain |
| 96125 |
Cognitive test by hc pro |
Maintain |
| 96127 |
Brief emotional/behav assmt |
Maintain |
| 96130 |
Psycl tst eval phys/qhp 1st |
Maintain |
| 96131 |
Psycl tst eval phys/qhp ea |
Maintain |
| 96132 |
Nrpsyc tst eval phys/qhp 1st |
Maintain |
| 96133 |
Nrpsyc tst eval phys/qhp ea |
Maintain |
| 96136 |
Psycl/nrpsyc tst phy/qhp 1st |
Maintain |
| 96137 |
Psycl/nrpsyc tst phy/qhp ea |
Maintain |
| 96138 |
Psycl/nrpsyc tech 1st |
Maintain |
| 96139 |
Psycl/nrpsyc tst tech ea |
Maintain |
| 96156 |
Hlth bhv assmt/reassessment |
Maintain |
| 96158 |
Hlth bhv ivntj indiv 1st 30 |
Maintain |
| 96159 |
Hlth bhv ivntj indiv ea addl |
Maintain |
| 96160 |
Pt-focused hlth risk assmt |
Maintain |
| 96161 |
Caregiver health risk assmt |
Maintain |
| 96164 |
Hlth bhv ivntj grp 1st 30 |
Maintain |
| 96165 |
Hlth bhv ivntj grp ea addl |
Maintain |
| 96167 |
Hlth bhv ivntj fam 1st 30 |
Maintain |
| 96168 |
Hlth bhv ivntj fam ea addl |
Maintain |
| 96170 |
Hlth bhv ivntj fam wo pt 1st |
Maintain |
| 96171 |
Hlth bhv ivntj fam w/o pt ea |
Maintain |
| 96202 |
Hlth bhv intj ind 1st 30 |
Maintain |
| 96203 |
Hlth bhv ivntj ind ea addl |
Maintain |
| 97110 |
Therapeutic exercises |
Maintain |
| 97112 |
Neuromuscular reeducation |
Maintain |
| 97116 |
Gait training therapy |
Maintain |
| 97129 |
Ther ivntj 1st 15 min |
Maintain |
| 97130 |
Ther ivntj ea addl 15 min |
Maintain |
| 97150 |
Group therapeutic procedures |
Maintain |
| 97151 |
Bhv id assmt by phys/qhp |
Maintain |
| 97152 |
Bhv id suprt assmt by 1 tech |
Maintain |
| 97153 |
Adaptive behavior tx by tech |
Maintain |
| 97154 |
Grp adapt bhv tx by tech |
Maintain |
| 97155 |
Adapt behavior tx phys/qhp |
Maintain |
| 97156 |
Fam adapt bhv tx gdn phy/qhp |
Maintain |
| 97157 |
Mult fam adapt bhv tx gdn |
Maintain |
| 97158 |
Grp adapt bhv tx by phy/qhp |
Maintain |
| 97161 |
Pt eval low complex 20 min |
Maintain |
| 97162 |
Pt eval mod complex 30 min |
Maintain |
| 97163 |
Pt eval high complex 45 min |
Maintain |
| 97164 |
Pt re-eval est plan care |
Maintain |
| 97165 |
Ot eval low complex 30 min |
Maintain |
| 97166 |
Ot eval mod complex 45 min |
Maintain |
| 97167 |
Ot eval high complex 60 min |
Maintain |
| 97168 |
Ot re-eval est plan care |
Maintain |
| 97530 |
Therapeutic activities |
Maintain |
| 97535 |
Self care mngment training |
Maintain |
| 97537 |
Community/work reintegration |
Maintain |
| 97542 |
Wheelchair mngment training |
Maintain |
| 97550 |
Caregiver training; initial 30 min |
Maintain |
| 97551 |
Caregiver training: ea addnl 15 min |
Maintain |
| 97552 |
Group caregiver training |
Maintain |
| 97750 |
Physical performance test |
Maintain |
| 97755 |
Assistive technology assess |
Maintain |
| 97760 |
Orthotic mgmt&traing 1st enc |
Maintain |
| 97761 |
Prosthetic traing 1st enc |
Maintain |
| 97763 |
Orthc/prostc mgmt sbsq enc |
Maintain |
| 97802 |
Medical nutrition indiv in |
Maintain |
| 97803 |
Med nutrition indiv subseq |
Maintain |
| 97804 |
Medical nutrition group |
Maintain |
| 98960 |
Self-mgmt educ & train 1 pt |
Maintain |
| 98961 |
Self-mgmt educ/train 2-4 pt |
Maintain |
| 98962 |
Self-mgmt educ/train 5-8 pt |
Maintain |
| 98966 |
Hc pro phone call 5-10 min |
Maintain |
| 98967 |
Hc pro phone call 11-20 min |
Maintain |
| 98968 |
Hc pro phone call 21-30 min |
Maintain |
| 99202 |
Office/outpatient visit new |
Maintain |
| 99203 |
Office/outpatient visit new |
Maintain |
| 99204 |
Office/outpatient visit new |
Maintain |
| 99205 |
Office/outpatient visit new |
Maintain |
| 99211 |
Office/outpatient visit est |
Maintain |
| 99212 |
Office/outpatient visit est |
Maintain |
| 99213 |
Office/outpatient visit est |
Maintain |
| 99214 |
Office/outpatient visit est |
Maintain |
| 99215 |
Office/outpatient visit est |
Maintain |
| 99221 |
Initial hospital care |
Maintain |
| 99222 |
Initial hospital care |
Maintain |
| 99223 |
Initial hospital care |
Maintain |
| 99231 |
Subsequent hospital care |
Maintain |
| 99232 |
Subsequent hospital care |
Maintain |
| 99233 |
Subsequent hospital care |
Maintain |
| 99234 |
Observ/hosp same date |
Maintain |
| 99235 |
Observ/hosp same date |
Maintain |
| 99236 |
Observ/hosp same date |
Maintain |
| 99238 |
Hospital discharge day |
Maintain |
| 99239 |
Hospital discharge day |
Maintain |
| 99281 |
Emergency dept visit |
Maintain |
| 99282 |
Emergency dept visit |
Maintain |
| 99283 |
Emergency dept visit |
Maintain |
| 99284 |
Emergency dept visit |
Maintain |
| 99285 |
Emergency dept visit |
Maintain |
| 99291 |
Critical care first hour |
Maintain |
| 99292 |
Critical care addl 30 min |
Maintain |
| 99304 |
Nursing facility care init |
Maintain |
| 99305 |
Nursing facility care init |
Maintain |
| 99306 |
Nursing facility care init |
Maintain |
| 99307 |
Nursing fac care subseq |
Maintain |
| 99308 |
Nursing fac care subseq |
Maintain |
| 99309 |
Nursing fac care subseq |
Maintain |
| 99310 |
Nursing fac care subseq |
Maintain |
| 99315 |
Nursing fac discharge day |
Maintain |
| 99316 |
Nursing fac discharge day |
Maintain |
| 99341 |
Home visit new patient |
Maintain |
| 99342 |
Home visit new patient |
Maintain |
| 99344 |
Home visit new patient |
Maintain |
| 99345 |
Home visit new patient |
Maintain |
| 99347 |
Home visit est patient |
Maintain |
| 99348 |
Home visit est patient |
Maintain |
| 99349 |
Home visit est patient |
Maintain |
| 99350 |
Home visit est patient |
Maintain |
| 99406 |
Behav chng smoking 3-10 min |
Maintain |
| 99407 |
Behav chng smoking > 10 min |
Maintain |
| 99468 |
Neonate crit care initial |
Maintain |
| 99469 |
Neonate crit care subsq |
Maintain |
| 99471 |
Ped critical care initial |
Maintain |
| 99472 |
Ped critical care subsq |
Maintain |
| 99473 |
Self-meas bp pt educaj/train |
Maintain |
| 99475 |
Ped crit care age 2-5 init |
Maintain |
| 99476 |
Ped crit care age 2-5 subsq |
Maintain |
| 99477 |
Init day hosp neonate care |
Maintain |
| 99478 |
Ic lbw inf < 1500 gm subsq |
Maintain |
| 99479 |
Ic lbw inf 1500-2500 g subsq |
Maintain |
| 99480 |
Ic inf pbw 2501-5000 g subsq |
Maintain |
| 99483 |
Assmt & care pln pt cog imp |
Maintain |
| 99495 |
Trans care mgmt 14 day disch |
Maintain |
| 99496 |
Trans care mgmt 7 day disch |
Maintain |
| 99497 |
Advncd care plan 30 min |
Maintain |
| 99498 |
Advncd care plan addl 30 min |
Maintain |
| G0108 |
Diab manage trn per indiv |
Maintain |
| G0109 |
Diab manage trn ind/group |
Maintain |
| G0011 |
Ind couns for PrEP by QHP, 15-30 min |
Maintain |
| G0013 |
Initial or contd couns for PrEP by clinical staff, 30 min |
Maintain |
| G0136 |
Admin SDOH risk assmt tool, 5-15 min |
Delete |
| G0270 |
Mnt subs tx for change dx |
Maintain |
| G0296 |
Visit to determ ldct elig |
Maintain |
| G0316 |
Prolonged hospital inpatient or observation care |
Maintain |
| G0317 |
Prolonged nursing facility evaluation and management service |
Maintain |
| G0318 |
Prolonged home or residence evaluation and management |
Maintain |
| G0396 |
Alcohol/subs interv 15-30mn |
Maintain |
| G0397 |
Alcohol/subs interv >30 min |
Maintain |
| G0406 |
Inpt/tele follow up 15 |
Maintain |
| G0407 |
Inpt/tele follow up 25 |
Maintain |
| G0408 |
Inpt/tele follow up 35 |
Maintain |
| G0410 |
Grp psych partial hosp 45-50 |
Maintain |
| G0420 |
Ed svc ckd ind per session |
Maintain |
| G0421 |
Ed svc ckd grp per session |
Maintain |
| G0422 |
Intens cardiac rehab w/exerc |
Maintain |
| G0423 |
Intens cardiac rehab no exer |
Maintain |
| G0425 |
Inpt/ed teleconsult30 |
Maintain |
| G0426 |
Inpt/ed teleconsult50 |
Maintain |
| G0427 |
Inpt/ed teleconsult70 |
Maintain |
| G0438 |
Ppps, initial visit |
Maintain |
| G0439 |
Ppps, subseq visit |
Maintain |
| G0442 |
Annual alcohol screen 15 min |
Maintain |
| G0443 |
Brief alcohol misuse counsel |
Maintain |
| G0444 |
Depression screen annual |
Maintain |
| G0445 |
High inten beh couns std 30m |
Maintain |
| G0446 |
Intens behave ther cardio dx |
Maintain |
| G0447 |
Behavior counsel obesity 15m |
Maintain |
| G0459 |
Telehealth inpt pharm mgmt |
Maintain |
| G0473 |
Group behave couns 2-10 |
Addition |
| G0506 |
Comp asses care plan ccm svc |
Maintain |
| G0508 |
Crit care telehea consult 60 |
Maintain |
| G0509 |
Crit care telehea consult 50 |
Maintain |
| G0513 |
Prolong prev svcs, first 30m |
Maintain |
| G0514 |
Prolong prev svcs, addl 30m |
Maintain |
| G0545 |
Inherent visit to inpt |
Addition |
| G2086 |
Off base opioid tx 70min |
Maintain |
| G2087 |
Off base opioid tx, 60 m |
Maintain |
| G2088 |
Off base opioid tx, add30 |
Maintain |
| G2211 |
Complex E/M visit add on |
Maintain |
| G2212 |
Prolong outpt/office vis |
Maintain |
| G3002 |
Chronic pain tx monthly b |
Maintain |
| G3003 |
Addition 15m pain mang |
Maintain |
| G9685 |
Acute nursing facility care |
Maintain |
| G0539 |
Initial care training 30 mi |
Maintain |
| G0540 |
train for caregiver add 15 |
Maintain |
| G0541 |
no pt present train, initial 30 |
Maintain |
| G0542 |
Care train to pts face to face 15 m |
Maintain |
| G0543 |
Group train w/o patient |
Maintain |
| G0560 |
Safety plan interven |
Maintain |