Is G0446 covered for telehealth? (Medicare)
G0446 (Intensive behavioral therapy for cardiovascular disease) appears on Medicare's list of approved telehealth services. Being on this list means Medicare may reimburse the service when delivered via telehealth, subject to the place-of-service and modifier requirements shown here.
How to bill it
Bill G0446 with place-of-service code 02 or 10 depending on whether the patient is located somewhere other than home (02) or in their home (10) at the time of the service. Append modifier 95 to indicate the service was furnished via an interactive audio-video telecommunications system. 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 this code?
POS 02 indicates the patient was located somewhere other than their home (e.g., a facility) for the telehealth visit, while POS 10 indicates the patient was in their home. Selecting the correct POS affects payment calculation under Medicare's telehealth rules.
Does this Medicare telehealth status apply to commercial or Medicaid plans?
No. This information reflects Medicare's telehealth coverage list only. Commercial payers and state Medicaid programs have their own telehealth policies, which may differ significantly and must be verified separately.
Is modifier 95 always required for G0446?
Modifier 95 is the guidance shown for this code to signal telehealth delivery via live audio-video. Always confirm current modifier requirements with CMS and the specific claims processing contractor, as payer-specific rules can vary.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G0446 · 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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