South Carolina

Last Checked Date7/31/207/31/20
CPT CodesG201299201-99215
Communication TypeTelephone call allowed – Video not requiredVideo required
Type of ServiceTelephonic encounter (Virtual check-in)Office or other outpatient visits
POS1111
ModifierBlankGT or 95
Additional Notes
Cost sharing for TelemedicineWaivedWaived
Policy Termination DateNot availableNot available
Policy Link/Update LinkClick HereClick Here
Additional Policy PDF
Last Checked Date7/31/207/31/20
CPT Codes99201-99203
99211-99215
99441-99443
Communication TypeVideo requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visitsTelephonic encounter (Virtual check-in)
POS1111
Modifier95NA
Additional NotesBlueCross BlueShield of South Carolina and BlueChoice® HealthPlan has extended the temporary expansion for telehealth services through October 1, 2020. This expansion continues to help minimize unnecessary exposure to individuals needing medical care. Effective August 1, 2020, both plans will revert back to requiring the use of HIPAA-secured telehealth systems in which care is delivered synchronously using both audio and visual modalities in order for services to be reimbursed.BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan has extended the temporary expansion for telehealth services through October 1, 2020. This expansion continues to help minimize unnecessary exposure to individuals needing medical care. Effective August 1, 2020, both plans will revert back to requiring the use of HIPAA-secured telehealth systems in which care is delivered synchronously using both audio and visual modalities in order for services to be reimbursed.
Cost sharing for TelemedicineCheck with payerCheck with payer
Policy Termination Date1/10/20201/10/2020
Policy Link/Update LinkClick HereClick Here
Additional Policy PDFClick HereClick Here
Last Checked Date7/31/207/31/207/31/20
CPT Codes99201-9921599441-99443G2012
Communication TypeVideo requiredTelephone call allowed- Video not requiredTelephone call allowed- Video not required
Type of ServiceOffice or other outpatient visits; Virtual check-inTelephonic encounter (Virtual check-in)Telephonic encounter (Virtual check-in)
POS111111
Modifier95BlankBlank
Additional NotesFollows Medicare guidelineFollows Medicare guidelineFollows Medicare guideline
Cost sharing for TelemedicineWaived for Covid onlyWaived for Covid onlyWaived for Covid only
Policy Termination DateNot availableNotavailableNot available
Policy Link/Update LinkClick HereClick HereClick Here
Additional Policy PDFClick HereClick HereClick Here
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 visits; Virtual check-inTelephonic Encounter (Virtual check-in)
POS1111
Modifier95Blank
Additional NotesWaiving in-network member costs for all primary care visits for the rest of 2020. We are also waiving member costs for outpatient, non-facility-based behavioral health visits and are extending telehealth cost share waivers for all telehealth visits – primary care, specialty, and behavioral health – for in-network providers for the remainder of 2020. This does not include inpatient hospital, behavioral health facility, or urgent care visits. Medicare members with state benefits will continue to receive support through coordination with their states.Waiving in-network member costs for all primary care visits for the rest of 2020. We are also waiving member costs for outpatient, non-facility-based behavioral health visits and are extending telehealth cost share waivers for all telehealth visits – primary care, specialty, and behavioral health – for in-network providers for the remainder of 2020. This does not include inpatient hospital, behavioral health facility, or urgent care visits. Medicare members with state benefits will continue to receive support through coordination with their states.
Cost sharing for TelemedicineWaivedWaived
Policy Termination DateNot availableNot available
Policy Link/Update LinkClick HereClick Here
Additional Policy PDFClick HereClick Here

State Telemedicine Policy

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