Maryland

Last Checked Date7/20/207/20/207/20/20
CPT Codes99201-9921599241-9924599441 Only
Communication TypeVideo requiredVideo requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsOffice or other outpatient visitsTelephonic encounter (Virtual check-in)
POS2211
ModifierGT or 95GT or 95Blank
Additional NotesThrough July 24, providers are encouraged not to collect member cost sharing for these services. If a member does owe a copay or coinsurance after the claim is processed, you can bill the member as you do for all other claims. For these purposes we’ve defined telemedicine as a combination of interactive audio and video. Please note, CareFirst will continue to waive cost sharing for in-network or out-of-network visits to a provider’s office, including telemedicine, related to diagnosis and treatment of COVID-19 through September 30.Through July 24, providers are encouraged not to collect member cost sharing for these services. If a member does owe a copay or coinsurance after the claim is processed, you can bill the member as you do for all other claims. For these purposes we’ve defined telemedicine as a combination of interactive audio and video. Please note, CareFirst will continue to waive cost sharing for in-network or out-of-network visits to a provider’s office, including telemedicine, related to diagnosis and treatment of COVID-19 through September 30.After July 24, CareFirst will no longer reimburse for CPT code 99441. CareFirst will pay a $20 flat fee for CPT 99441.* We selected this code for all phone visits, regardless of the amount of time. This is in effect through the duration of the pandemic.
Cost sharing for TelemedicineWaivedWaivedWaived
Policy Termination Date03/16/2020-Till public health emergency03/16/2020-Till public health emergency03/16/2020-Till public health emergency
Policy Link/Update LinkClick HereClick HereClick Here
Additional Policy(PDF)Click HereClick HereClick Here

State Telemedicine Policy

AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC