Ahcccs telehealth code set. “Telehealth” means healthcare services delivered via Asynchronous, Audio-Only, Remote Patient Monitoring, Teledentistry, or Telemedicine. AHCCCS Telehealth Major Policy Changes: COVID-19 Created Temporary Telephonic Code Set Added ~150 codes to Telehealth Code Set AHCCCS MCOs required to: Reimburse at the same rate for services provided “in-person” and services provided via telehealth and/or telephonically Cover all contracted services via telehealth modalities Created Temporary Telephonic Code Set In response to telemedicine technical capacity limitations for some providers and/or members, AHCCCS greatly expanded codes available via telephone over the course of the emergency Temporary code set developed based on stakeholder requests Additional requests-email: TELEHEALTH CODE SET with Place of Service Reference Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals Therapeutic procedure(s), group (2 or more individuals) Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes Aug 19, 2025 · Updated: 8/19/2025Download the Presentation AHCCCS Telehealth Code Set – A comprehensive list of approved telehealth service codes, including applicable modifiers and place of service codes. Telehealth Changes dical Coding Resources page. The AHCCCS Telehealth code set defines which codes are billable as a remote patient monitoring service and the applicable modifier(s) and place of service providers shall use when billing for a service provided through remote patient monitoring. TELEHEALTH REMINDERS Our telehealth codes were expanded at the start of this Public Health Emergency – COVID-19. Telehealth is the use of digital technology, like computers, telephones, smartphones, and tablets, to access healthcare services remotely. Please refer to the AHCCCS telehealth code li t for our approved code set. . This communication provides the description of these two codes and billing guidance for both Medicare and Medicaid. Download the Code Set Fee-For-Service Provider Billing Manual - Chapter 10: Individual Practitioner Services – Offers detailed billing instructions for individual practitioners, including telehealth Mar 17, 2015 · AHCCCS TELEHEALTH POLICY AHCCCS covers medically necessary consultative and/or treatment telemedicine services for all eligible members within the limitations described in this Manual, when provided by an appropriate AHCCCS registered provider. Any updates or change requests must be submitted by Reference Table Update Form found on the AHCCCS Medical Coding Apr 30, 2025 · Download the Presentation AHCCCS Telehealth Code Set – A comprehensive list of approved telehealth service codes, including applicable modifiers and place of service codes. Download the Code Set Fee-For-Service Provider Billing Manual - Chapter 10: Individual Practitioner Services – Offers detailed billing instructions for individual practitioners, including telehealth TELEHEALTH REMINDERS Our telehealth codes were expanded at the start of this Public Health Emergency – COVID-19. Telehealth can make access to health care more convenient, saving 99498 12 99 AHCCCS TELEHEALTH CODE SET: GUIDELINES Updated: 1/18/2022 This is a guide; it is the responsibility of the provider/facility to make sure they are following all AHCCCS policy and coding guidelines. AHCCCS members who cannot travel to an office or prefer telehealth visits can use these devices from their homes to attend healthcare appointments with their providers. Telehealth can make access to health care more convenient, saving Apr 30, 2025 · Download the Presentation AHCCCS Telehealth Code Set – A comprehensive list of approved telehealth service codes, including applicable modifiers and place of service codes. It allows you to receive health care from your provider without going into their ofice. Please remember that AHCCCS requires the place of serv ce of the members currently. Telehealth Services Telehealth is the use of digital technology, like computers, telephones, smartphones, and tablets, to access healthcare services remotely. This article provides guidance on these new guidelines and AHCCCS-registered dental Provider to a dentist at a Distant Site for triage, dental treatment planning, and referral. Place of Service Code Set Effective 10/01/2024 Jan 1, 2022 · Telehealth POS 02 & 10 Clarification Date: 02/11/22 Effective for dates of service 1/1/22 and after, CMS revised the description of POS code 02 and added POS 10 for telehealth services to meet the overall industry needs. Telehealth can make access to health care more convenient, saving time and For the Current Procedural Technology (CPT®) 2025 code set, a new Telemedicine Services subsection with 17 new codes has been added to the Evaluation and Management (E/M) section. pdf For your convenience, we have outlined the following changes: “Currently, the Committee maintains alignment with AHCCCS' recommendations for services that can be provided via audio-only telehealth (as denoted by the 'FQ' modifier in the telehealth code set). ” For a complete code set of services, along with their eligible place of service and modifiers, that can be billed as telehealth please visit the AHCCCS Medical Coding Resources web page at: Created Temporary Telephonic Code Set In response to telemedicine technical capacity limitations for some providers and/or members, AHCCCS greatly expanded codes available via telephone over the course of the emergency Temporary code set developed based on stakeholder requests Additional requests-email: The AHCCCS Telehealth code set defines which codes are billable as a remote patient monitoring service and the applicable modifier(s) and place of service providers shall use when billing for a service provided through remote patient monitoring. AHCCCS is also reviewing the AMPM 310 I policy for future updates. This includes place of service, modifiers, new procedure codes, new diagnoses, and coding rules. LINKS Medical Coding Resources Webpage Telehealth Code Set CDC ICD-10 CM COVID Diagnoses COVID-19 Administration Bill Guidelines AHCCCS Medical Coding Updates Form Jan 3, 2024 · January 3, 2024 Changes to the AHCCCS Covered Behavioral Health Services Guide Applicable to: Mercy Care ACC RBHA, Mercy Care Long Term Care, Mercy Care DD, and Mercy Care DCS CHP AHCCCS has made the following changes to the Covered Behavioral Health Service Guide - Effective 1/1/2025. “Telehealth Advisory Committee” means a group of people, AHCCCS Telehealth Major Policy Changes: COVID-19 Created Temporary Telephonic Code Set Added ~150 codes to Telehealth Code Set AHCCCS MCOs required to: Reimburse at the same rate for services provided “in-person” and services provided via telehealth and/or telephonically Cover all contracted services via telehealth modalities 99494 99497 99498 AHCCCS TELEHEALTH CODE SET: GUIDELINES EFFECTIVE DATE: 10/01/2025 THIS IS A GUIDE; IT IS THE RESPONSIBILITY OF THE PROVIDER/FACILITY TO MAKE SURE THEY ARE FOLLOWING ALL AHCCCS POLICY AND CODING GUIDELINES. Aug 19, 2025 · Updated: 8/19/2025Download the Presentation AHCCCS Telehealth Code Set – A comprehensive list of approved telehealth service codes, including applicable modifiers and place of service codes. Please refer to the AHCCCS Telehealth code list for 2025 for all the current updates. 99494 99497 99498 AHCCCS TELEHEALTH CODE SET: GUIDELINES THIS IS A GUIDE; IT IS THE RESPONSIBILITY OF THE PROVIDER/FACILITY TO MAKE SURE THEY ARE FOLLOWING ALL AHCCCS POLICY AND CODING GUIDELINES. 10 PURPOSE 11 This policy describes covered Telehealth and Telemedicine services for TELEHEALTH CODE SET UPDATES AHCCCS has updated the Telehealth Code Set to include new codes effective October 1, 2025. Sep 27, 2021 · Medical Coding Resources are intended for use by AHCCCS MCOs and Providers. AHCCCSCoveredBHServicesManual. AHCCCS Telehealth Major Policy Changes: COVID-19 Created Temporary Telephonic Code Set Added ~150 codes to Telehealth Code Set AHCCCS MCOs required to: Reimburse at the same rate for services provided “in-person” and services provided via telehealth and/or telephonically Cover all contracted services via telehealth modalities Telehealth is a way to deliver health care services using technologies such as computers and mobile phones. AHCCCS does not a Refer to Tabs 1 and 2 of the Telehealth Code Set for guidance and policy details. With few exceptions, reimbursable consultations must be provided in a real-time. The AHCCCS Medical Coding Unit is responsible for the update and maintenance of all medical coding related to AHCCCS claims and encounters processing. These 17 new codes are intended for reporting synchronous (ie, real-time) E/M services, with coding options available for both new and established patients. S9470 is allowed to report the GT modifier only. Please note: ce (POS) codes 02 or 10. Any updates or change requests must be submitted by Reference Table Update Form found on the AHCCCS Medical Coding Resources Page. Dec 31, 2024 · The American Medical Association (AMA) updated the telehealth code set and created new codes for telehealth. Make sure you are keeping up to date with our coding requirements as listed on the Medical Coding Resources page. 5wru a4rq mopoo wyjgfyy1 pjsbl ulm3aeu khqfgbn fofbg ec 1i2qqa