Is G0445 covered for telehealth? (Medicare)
G0445 (high-intensity behavioral counseling for STI/STD prevention, 30 minutes) appears on Medicare's list of approved telehealth services. Being on this list means Medicare may reimburse the service when delivered via telehealth under Medicare's telehealth billing rules, subject to the place-of-service and modifier requirements shown here.
How to bill it
Bill G0445 with place-of-service code 02 or 10, depending on whether the patient is at home (10) or another authorized originating site (02). Append modifier 95 to indicate the service was furnished via an interactive audio-video telecommunications system, and confirm your MAC's current claim edits before submitting. 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.
Frequently asked
What's the difference between POS 02 and POS 10 for G0445?
POS 02 indicates the patient received the telehealth service at a site other than their home (e.g., a clinic acting as originating site), while POS 10 indicates the patient was at home. Use the code that matches the patient's actual location at the time of service.
Does this Medicare telehealth status apply to commercial or Medicaid plans?
No. This reference reflects Medicare's telehealth list only. Commercial payers and state Medicaid programs set their own telehealth coverage, POS, and modifier rules for G0445, so verify separately with each payer.
Is modifier 95 always required for G0445?
The modifier guidance here specifies 95 for this code under Medicare's current telehealth billing framework, but modifier requirements can change and may differ by payer, so check the latest CMS instructions and payer-specific policy before submitting.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G0445 · 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.
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