CDC Categories of Codes for Telehealth Services

Telehealth has become increasingly popular in recent years as a way to provide medical care remotely. The Centers for Disease Control and Prevention (CDC) has established codes to be used when billing for telehealth services. These codes help healthcare providers and insurers correctly identify and reimburse telehealth services.

The CDC has created two categories of codes for telehealth services: Category I and Category III.

Category I codes, also known as Current Procedural Terminology (CPT) codes, are used for professional services provided via telehealth. These codes include the use of real-time, two-way audio and video communication to provide services such as office or other outpatient visits, evaluation and management services, and certain therapeutic procedures.

Category III codes, also known as Temporary Procedural Terminology (TPT) codes, are used for emerging technologies and services that are not yet included in Category I codes. These codes may include services such as remote evaluation of recorded video and images, and remote physiologic monitoring.

It's worth noting that the use of telehealth services is subject to certain limitations and restrictions, and the availability of telehealth services may vary by state.

It's also important to note that some payers may have different policies and reimbursement amounts for telehealth services, and not all services may be covered. It's important to check with the payers and also comply with any regulatory requirements, such as HIPAA, when providing telehealth services.

Overall, the use of CDC codes for telehealth services helps ensure that healthcare providers are reimbursed correctly for these services, and also helps ensure that patients have access to the care they need, regardless of their location.