New Mexico

Last Checked Date7/20/207/20/20
CPT Codes99201-9921599441-99443
Communication TypeVideo requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsTelephone call allowed- Video not required
POS22
ModifierGT or 95Blank
Additional NotesEffective from March 17, 2020, through September 30, 2020, Amerigroup health plans will waive member cost shares for telehealth visits, including visits for annual wellness visits, mental health or substance use disorders, for our Medicare Advantage plans. For out-of-network providers, Amerigroup is waiving cost shares from March 17, 2020, through 09/30/2020 Cost sharing will be waived for members using our authorized telemedicine service, LiveHealth Online, and for telehealth received from other providers delivering virtual care through internet video and audio services.
Cost sharing for TelemedicineWaivedWaived
Policy Termination Date03/17/2020-09/30/202003/19/2020-09/30/2020
Policy Link/Update LinkClick HereClick Here
Additional Policy PDFClick HereClick Here
Last Checked Date7/20/207/20/207/20/20
CPT Codes99201-9921599441-99443G2012
Communication TypeVideo requiredTelephone call allowed- Video not requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsOffice or other outpatient visitsOffice or other outpatient visits
POS11 or 0211 or 0211 or 02
Modifier95 or GTBlankBlank
Additional NotesNote: if a claim is submitted using place of service (POS) 02 or a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier.Note: if a claim is submitted using place of service (POS) 02 or a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes requirethe modifier.Note: if a claim is submitted using place of service (POS) 02 or a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier.
Cost sharing for TelemedicineWaivedWaivedWaived
Policy Termination Date03/06/2020- Not available03/09/2020 – Not available03/09/2020 – Not available
Policy Link/Update LinkClick HereClick HereClick Here
Additional Policy PDFClick HereClick HereClick Here
Last Checked Date7/20/207/20/207/20/20
CPT Codes99201-9921599441-99443G2012
Communication TypeTelephone call allowed- Video not requiredTelephone call allowed- Video not requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsOffice or other outpatient visitsOffice or other outpatient visits
POSDoes not specifyDoes not specifyDoes not specify
Modifier95 or GTBlankBlank
Additional NotesEffective March 9, 2020, BCBSNM began providing access to telehealth services at no cost-share with in-network providers for fully-insured members for health care services for all medically necessary, covered services and treatments consistent with the terms of the member’s benefit plan. If a claim is submitted using a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier.Effective March 9, 2020, BCBSNM began providing access to telehealth services at no cost-share with in-network providers for fully-insured members for health care services for all medically necessary, covered services and treatments consistent with the terms of the member’s benefit plan. If a claim is submitted using a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier.Effective March 9, 2020, BCBSNM began providing access to telehealth services at no cost-share with in-network providers for fully-insured members for health care services for all medically necessary, covered services and treatments consistent with the terms of the member’s benefit plan. If a claim is submitted using a telemedicine code, the modifier 95 is not necessary. Only codes that are not traditional telemedicine codes require the modifier.
Cost sharing for TelemedicineWaivedWaivedWaived
Policy Termination Date03/09/2020-Not available03/09/2020-Not available03/09/2020-Not available
Policy Link/Update LinkClick HereClick HereClick Here
Additional Policy PDF

State Telemedicine Policy

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