Is G0506 covered for telehealth? (Medicare)
G0506 (comprehensive assessment and care planning for chronic care management services) appears on Medicare's approved telehealth services list. Being on this list means Medicare may reimburse the service when delivered via telehealth under Medicare's telehealth billing framework, subject to all standard coverage and documentation requirements for CCM initiation.
How to bill it
Bill G0506 with place of service 02 (telehealth - patient not in their home) or 10 (telehealth - patient in their home), matching where the patient was located during the encounter. Append modifier 95 to indicate the service was furnished via an interactive audio-video telecommunications system, as specified in the modifier 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.
Frequently asked
What's the difference between POS 02 and POS 10 for G0506?
POS 02 is used when the patient is located somewhere other than their home (e.g., a facility) at the time of the telehealth service, while POS 10 indicates the patient was in their home. Select the code matching the patient's actual location during the visit.
Does this Medicare telehealth status apply to commercial or Medicaid plans?
No. This reference reflects Medicare telehealth policy only. Commercial payers and state Medicaid programs set their own telehealth coverage rules for G0506, which can differ significantly, so verify with each payer separately.
Can G0506 be billed on its own without other CCM codes?
G0506 is typically billed once, in conjunction with initiating chronic care management services alongside the appropriate CCM CPT codes. Check current CMS billing guidance and payer policy for sequencing and frequency limits.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G0506 · 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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