This article is for physical therapists and occupational therapists caring for our members
We recently updated our Telehealth (Telemedicine) – Medical payment policy and Telehealth (Telemedicine) – Mental Health payment policy to allow procedure code 97535 to be reimbursable via telehealth effective October 27, 2023.
| Procedure code | Description | Telehealth reimbursement effective date |
|---|---|---|
| 97535 | Self-care/home management training (e.g., activities of daily living [ADL] and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes | October 27, 2023 |
Resources
For additional reimbursement information, please see our 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, 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.
MPC_102323-1X-1