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Highmark BCBS Telehealth Policy PT and OT

Update: 4/19/2020

Highmark has temporarily expanded its list of reimbursable telemedicine codes to include procedures that were not previously eligible to be performed via virtual visits and telemedicine. This includes some physical/occupational/speech therapy services (not requiring physical touch by definition) and additional behavior health services.

HIGHMARK (Temporary) Telemedicine Code List - Effective March 13 – June 13, 2020

Please be advised that we trust providers to use their professional judgement when providing a service, and they remain responsible for correct coding and documentation procedures.

*Medicare Advantage NOTE: Highmark Medicare Advantage plans continue to follow CMS’s guidelines for telemedicine visit coverage and reimbursement. Only the codes identified by CMS as appropriate for telemedicine services will be reimbursed by Highmark for Medicare Advantage members.

Reference

https://hbcbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits


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