Medicare Telehealth Billing Changes Effective October 1, 2026

Beginning October 1, 2026, RHCs and FQHCs shall bill the individual

Current Procedural Terminology (CPT) or HCPCS codes that describe the distant site telehealth service furnished, instead of the single HCPCS code G2025. These codes are published annually on the CMS website, along with the calendar-year PFS rulemaking.


🔗 Link to telehealth services: List of Telehealth Services


RHCs and FQHCs shall report the appropriate revenue code along with one of the following modifiers:


• 93 - Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System

• 95 - Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System


📄 For the full document, please review CMS Change Request 14468

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