Is G0473 covered for telehealth? (Medicare)
G0473 appears on Medicare's list of approved telehealth services, meaning this group behavioral counseling code can be billed when furnished via a qualifying telehealth encounter rather than strictly in person. Its current status is Covered, but billers should re-check CMS's telehealth list periodically since coverage determinations are updated over time.
How to bill it
Report G0473 with place of service 02 or 10, selecting the code that matches where the patient was physically located during the visit, and append modifier 95 to signal that the service was delivered via a real-time telehealth connection. Confirm the specific POS-to-modifier pairing your MAC or payer expects 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 this code?
POS 02 generally indicates the patient was located somewhere other than home (e.g., a facility) at the time of the telehealth service, while POS 10 indicates the patient was at home. Use the code that reflects the patient's actual location, per CMS instructions.
Does this Medicare telehealth status apply to commercial or Medicaid plans?
No. This reference reflects Medicare's telehealth coverage rules only. Commercial payers and state Medicaid programs set their own telehealth policies, which can differ significantly, so always verify coverage with the specific payer.
Can G0473 be billed for an audio-only visit?
Audio-only eligibility is not specified for this code in the source data. Check current CMS guidance or the payer's policy before billing an audio-only claim, rather than assuming it is or isn't allowed.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G0473 · 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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