Is G2212 covered for telehealth? (Medicare)
G2212 (Prolong outpt/office vis) appears on Medicare's telehealth services list as Covered, meaning Medicare will consider payment when this add-on code is furnished via telehealth in addition to the base E/M service it extends. Coverage of the add-on still depends on the underlying visit meeting Medicare's time and documentation requirements.
How to bill it
Bill G2212 with place of service 02 or 10, selecting whichever reflects where the patient was located during the visit, and append modifier 95 to indicate the service was furnished via synchronous telecommunications. Make sure the primary E/M code it's attached to is also billed correctly for telehealth before submitting this add-on. 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
When should I use POS 02 versus POS 10 for G2212?
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. Choose based on the patient's actual location during the encounter, not the provider's location.
Does commercial or Medicaid coverage follow the same rules as Medicare for G2212?
No. This reference reflects Medicare's telehealth policy only; commercial payers and state Medicaid programs may have different coverage rules, POS requirements, or modifier expectations for G2212. Always verify with the specific payer before billing.
Can G2212 be billed on its own?
No, G2212 is an add-on code and must be billed alongside the qualifying primary E/M visit code it extends. It cannot stand alone on a claim.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G2212 · 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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