North Carolina -

North Carolina

Medicare Advantage / BCBS of North Carolina

Commercial / BCBS of North Carolina

Medicare Advantage / Healthteam Advantage HMO

Medicare Advantage / Lasso Healthcare Medicare Advantage

Medicare Advantage / Liberty Advantage HMO

Medicare Advantage / BCBS of North Carolina

Last Checked Date	7/27/20	7/27/20
CPT Codes	99201-99215	99441-99443
Communication Type	Video required	Telephone call allowed- Video not required
Type of Service	Office or other outpatient visits	Telephonic encounter (Virtual Check- in)
POS	11	11
Modifier	95 or CS,95	Blank or CS
Additional Notes	Follows CMS medicare guideline. Please add CS modifer for covid related services	Follows CMS medicare guideline. Please add CS modifer for covid related services
Cost sharing for Telemedicine	Waived for Covid only	Waived for Covid only
Policy Termination Date	03/06/2020-12/31/2020	03/06/2020-12/31/2020
Policy Link/Update Link	Click Here	Click Here
Additional Policy PDF	Click Here	Click Here

Commercial / BCBS of North Carolina

Last Checked Date	7/27/20	7/27/20
CPT Codes	99201-99215	99441-99443
Communication Type	Telephone call allowed- Video not required	Telephone call allowed- Video not required
Type of Service	Office or other outpatient visits	Telephonic encounter (Virtual check- in)
POS	2	2
Modifier	Blank or CR	Blank
Additional Notes	Need to included CR modifier if service is performed via audio only effective Aug. 1, 2020, providers should use the -CS modifier to indicate any COVID-19 testing-related services that result in an order for or administration of a COVID-19 test	Need to included CR modifier if service is performed via audio only effective Aug. 1, 2020, providers should use the -CS modifier to indicate any COVID-19 testing-related services that result in an order for or administration of a COVID-19 test
Cost sharing for Telemedicine	Waived For Covid Only	Waived For Covid Only
Policy Termination Date	03/06/2020-12/31/2020	03/06/2020-12/31/2020
Policy Link/Update Link	Click Here	Click Here
Additional Policy PDF	Click Here	Click Here

Medicare Advantage / Healthteam Advantage HMO

Last Checked Date	7/27/20	7/27/20	7/27/20
CPT Codes	99211-99215	99441-99443	G2012
Communication Type	Telephone call allowed- Video not required	Telephone call allowed- Video not required	Telephone call allowed- Video not required
Type of Service	Office or other outpatient visits; Virtual check-in	Office or other outpatient visits; Virtual check-in	Office or other outpatient visits; Virtual check-in
POS	2	2	2
Modifier	Blank	Blank	Blank
Additional Notes	Termination date may be extended	Termination date may be extended	Termination date may be extended
Cost sharing for Telemedicine	Waived	Waived	Waived
Policy Termination Date	03/16/2020-end of the declared Public Health Emergency.	03/16/2020-end of the declared Public Health Emergency.	03/16/2020-end of the declared Public Health Emergency.
Policy Link/Update Link	Click Here	Click Here	Click Here
Additional Policy PDF

Medicare Advantage / Lasso Healthcare Medicare Advantage

Last Checked Date	7/27/20
CPT Codes	No Update yet
Communication Type
Type of Service
POS
Modifier
Additional Notes	Check with payer
Cost sharing for Telemedicine	Check with payer
Policy Termination Date
Policy Link/Update Link
Additional Policy PDF

Medicare Advantage / Liberty Advantage HMO

Last Checked Date	7/27/20
CPT Codes	99201-99215
Communication Type	Video required
Type of Service	Office or other outpatient visits; Virtual check-in
POS	11
Modifier	95
Additional Notes	Follows Medicare guideline
Cost sharing for Telemedicine	Waived for Covid Only
Policy Termination Date	Not available
Policy Link/Update Link	Click Here
Additional Policy PDF