Is G0011 covered for telehealth? (Medicare)

G0011 ("Ind couns for PrEP by QHP, 15-30 min") is on Medicare's list of telehealth services (covered). Report it with an appropriate telehealth place of service and modifier.

How to bill it

Bill with place of service 02, 10 and modifier 95, consistent with your documentation and payer guidance. POS reference → · modifier reference →

Audio-only

Medicare's list of telehealth services doesn't specify audio-only eligibility for this code. Audio-only is permitted for a number of services (notably behavioral and mental-health care); confirm against current CMS guidance and your payer before billing audio-only.

More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G0011 · place of service · modifiers

Reflects Medicare's list of telehealth services for this year; audio-only, POS and modifier rules can change. Commercial and Medicaid telehealth coverage differ — verify current CMS guidance and your payer's rules before billing.