Cigna will allow providers to bill standard in-person visits for all telehealth visits, including those not related to COVID-19, through May 31.
- Cigna Waiving Copay For Telehealth Services
- Cigna Telehealth 2021
- Cigna Telehealth Billing Requirements
- Cigna Waiving Copay For Telehealth Service
Many insurance companies are currently waiving copays and deductibles for telehealth; while some are waiving these fees for all telehealth services, others are limited to COVID-19 related treatment only, and many require that the provider use the insurer’s preferred telemedicine platform. Centene is waiving all cost sharing for in-network primary care, behavioral health, and telehealth visits for the remainder of the calendar year for Medicare Advantage members.
Cigna is also waiving cost-sharing related to COVID-19 screening, testing and treatment through May 31. Claims will be processed with the uplifted cost-sharing and telehealth restrictions beginning April 6 for dates of services on or after March 2 until at least May 31.
Here are the services, and their respective codes, that Cigna will cover when provided via telehealth through May 31.
COVID-19 related services:
1. G2012: virtual screening telephone consult, 5-10 minutes
2. Z03.818: virtual or face-to-face visit for screening for suspected COVID-19 exposure
3. Z20828: virtual or face-to-face visit for screening for suspected COVID-19 exposure
4. Modifier CR on CMS 1500 claims: virtual or face-to-face visit for screening for suspected COVID-19 exposure
5. Condition code DR on UB04 claims: virtual or face-to-face visit for screening for suspected COVID-19 exposure
6. Append with GQ modifier for virtual care: virtual or face-to-face visit for screening for suspected COVID-19 exposure
7. B97.29: virtual or in-person visit for treatment of a confirmed COVID-19 case
8. U07.1: virtual or in-person visit for treatment of a confirmed COVID-19 case
9. Append with GQ modifier for virtual care: virtual or in-person visit for treatment of a confirmed COVID-19 case
10. U0001: COVID-19 laboratory testing
11. U00002: COVID-19 laboratory testing
12. 87635: COVID-19 laboratory testing
13. Z03.818: diagnostic COVID-19 related laboratory tests
14. Z03.828: diagnostic COVID-19 related laboratory tests
15. Modifier CR on CMS1500 claims: diagnostic COVID-19 related laboratory tests
16. Condition code DR on UB04 claims: diagnostic COVID-19 related laboratory tests
Non COVID-19 related services:
Cigna Waiving Copay For Telehealth Services
17. G2012: virtual screening telephone consult, 5-10 minutes
18. Usual face-to-face E/M code: non COVID-19 virtual visit
19. Usual laboratory codes: non COVID-19 laboratory tests
20. Usual face-to-face E/M codes: in-office visit not related to COVID-19
Virtual care for physical, occupational and speech therapy services:
21. 97161: physical therapy evaluation, complex, 20 minutes
22. 97162: physical therapy evaluation, moderate complex, 30 minutes
23. 97110: therapeutic exercises, two unit limit
24. 97165: occupational therapy evaluation, low complexity, 30 minutes
Cigna Telehealth 2021
25. 97166: occupational therapy evaluation, moderate complexity, 45 minutes
26. 97110: therapeutic exercises, two unit limit
27. 92507: speech/hearing therapy
Cigna Telehealth Billing Requirements
28. 92565: oral function therapy
More articles on telehealth:
How hospitals are responding to surge in telehealth visits
AMA: 12 steps for providers to follow when integrating telemedicine
'It's just the right thing to do': Why these 2 health systems slashed virtual visit prices
Cigna Waiving Copay For Telehealth Service
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