Is G0540 covered for telehealth? (Medicare)
G0540 (HCPCS: 'train for caregiver add 15') appears on Medicare's telehealth services list, meaning it can be furnished and billed as a telehealth service under Medicare when program requirements are met. Coverage and billing rules for commercial payers and Medicaid programs differ and should be verified separately before submitting a claim.
How to bill it
For Medicare, report G0540 with place of service 02 or 10, selecting whichever reflects where the patient is located during the encounter, and append modifier 95 to indicate the service was delivered via telehealth. Confirm that all other Medicare telehealth eligibility criteria (eligible practitioner, patient consent, documentation) are also met before submission. 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 G0540?
POS 02 is used when the patient is located somewhere other than their home for the telehealth service, while POS 10 indicates the patient was in their home. Choose the code matching the patient's actual location at the time of service.
Does commercial insurance follow the same rules as Medicare for G0540?
No. This reference reflects Medicare telehealth policy only; commercial payers and state Medicaid programs may have different coverage, POS, or modifier requirements for G0540 and should be verified independently.
Is modifier 95 always required for G0540 on Medicare claims?
The modifier guidance for this code calls for modifier 95 when billed as telehealth. Always cross-check current CMS instructions, as modifier requirements can be updated.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G0540 · 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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