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CMS-1403-FC
CPT/
HCPCS
Mod Description
Facility or
Nonfacility
Physician
Work as a
% of Total
RVUs
2009 BN on
Work RVU
2009 BN
on CF
1051
Percent
Change
99223 Initial hospital care Facility 76% $ 174.43 $ 180.33 3%
99285 Emergency dept visit Facility 80% $ 163.99 $ 170.60 4%
B. Telehealth
In section II.D. of this final rule with comment
period, we are creating HCPCS codes specific to the
telehealth delivery of follow-up inpatient consultations.
The new HCPCS codes will be limited to the range of
services included in the scope of deleted CPT codes
previously approved for telehealth, with the descriptions
modified to limit the use of such services for telehealth.
Utilization of these codes will allow us to provide payment
for follow-up inpatient telehealth consultations, as well
as enable us to monitor whether the codes are used
appropriately.
The total annual Medicare payment amount for
telehealth services (including the originating site
facility fee) is approximately $2 million. Previous
additions to the list of Medicare telehealth services have
not resulted in a significant increase in Medicare program
expenditures. While we believe that the addition of
follow-up inpatient telehealth consultation services to the
approved telehealth service list will enable more
beneficiaries access to these services, we do not