This article is for all providers except dentists caring for our members
The American Medical Association (AMA) has released a series of dedicated telehealth evaluation and management codes effective January 1, 2025, as listed below. We will not be reimbursing these codes upon release. This decision aligns with the Centers for Medicare and Medicaid Services (CMS).
- 98000-98007: New or established patient audio-video codes
- 98008-98015: New or established patient audio only codes
Please continue to follow the guidelines in our Telehealth (Telemedicine) - Medical Services and Telehealth (Telemedicine) - Mental Health payment policies. We may reconsider reimbursing these new codes in the future and will communicate any updates as needed.
Related payment policies
Related payment policies
- Telehealth (Telemedicine) – Medical Services
- Telehealth (Telemedicine) – Mental Health
To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or log in and go to Office Resources>Policies & Guidelines>Payment Policies.
Questions?
If you have any questions, please call Network Management and Credentialing Services at 1-800-316-BLUE (2583). As always, thank you for the care you provide to our members.
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