Is G0545 covered for telehealth? (Medicare)
G0545 (HCPCS: Inherent visit to inpt) appears on Medicare's list of approved telehealth services, meaning Medicare may reimburse it when furnished via telehealth under current program rules. Coverage status can change from year to year, so billers should confirm the code is still active on the list for the date of service.
How to bill it
For Medicare claims, G0545 may be billed with place-of-service 02 or 10, depending on where the patient is located during the encounter. Apply modifier 95 as indicated to identify the service as furnished via telehealth. 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 G0545?
POS 02 is used when the patient receives telehealth services from a location other than their home, while POS 10 indicates the patient was in their home. Use the code that matches the patient's actual location for the encounter.
Does commercial or Medicaid coverage for G0545 match Medicare's rules?
No — this reference reflects Medicare telehealth policy only. Commercial payers and state Medicaid programs may have different covered codes, POS requirements, or modifier rules, so verify separately with each payer.
Is modifier 95 always required for G0545?
Modifier 95 is the modifier guidance associated with this code for telehealth billing, but requirements can vary by payer and by year, so confirm current instructions before submitting the claim.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G0545 · 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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