Unsupported Browser
The American College of Surgeons website is not compatible with Internet Explorer 11, IE 11. For the best experience please update your browser.
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Become a Member
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Membership Benefits
ACS

Medicare Coverage for Virtual Services

What are the differences between virtual services?

Telehealth E/M
Telephone E/M
E-Visit
Virtual Check-In
Remote Image Evaluation
Modalities
Audio and video (see list of telehealth vendors)
Telephone (audio only)
Online patient portal
Phone, secure email or text message, patient portal
Store and forward asynchronous technology
Service description
Interactive E/M service via real-time, two-way video call
Patient-initiated E/M service via real-time telephone call
Patient-initiated E/M service via online patient portal
Brief assessment to determine whether an in-person office visit or other service is required
Evaluation and interpretation of a pre-recorded video or image provided by a patient
Eligible providers
Physician, physician assistant, nurse practitioner
Physician, physician assistant, nurse practitioner, other qualified nonphysician provider
Physician, physician assistant, nurse practitioner, other qualified nonphysician provider
Physician, physician assistant, nurse practitioner
Physician, physician assistant, nurse practitioner
Patient relationship
New and established patients
New and established patients (new patients allowed during PHE)
New and established patients (new patients allowed during PHE)
New and established patients (new patients allowed during PHE)
New and established patients (new patients allowed during PHE)
Codes

CPT codes 99201-99205
(new patients)

CPT codes 99211-99215
(established patients)

CPT codes 99441-99443
(for MDs/DOs, PAs, NPs)

CPT codes 98966-98968
(for other qualified NPPs)

CPT codes 99421-99423
(for MDs/DOs, PAs, NPs)

HCPCS codes G2061-G2063
(for other qualified NPPs)

HCPCS code G2012

HCPCS code G2010

Telehealth Modifier

95 (telemedicine)

CS (E/M service related to COVID-19 testing)*

N/A

N/A

N/A

N/A

*Physicians should append both modifiers 95 and CS on applicable claim lines to identify the service as subject to the cost-sharing wavier for COVID-19 testing-related services to get 100% of the Medicare-approved amount. Modifier CS may be used for services furnished on March 18, 2020, and through the end of the PHE.

Virtual Service Codes

Telehealth Office/Outpatient Evaluation and Management Visits
Synchronous audio AND visual evaluation and management visit between a patient and clinician
CPT Code
Description
Time*
Medical Decision-Making
99201

Office or other outpatient visit for the evaluation and management of a new patient

N/A
Straightforward
99202

Office or other outpatient visit for the evaluation and management of a new patient

15–29 minutes
Straightforward
99203

Office or other outpatient visit for the evaluation and management of a new patient

30–44 minutes
Low complexity
99204

Office or other outpatient visit for the evaluation and management of a new patient

45–59 minutes
Moderate complexity
99205

Office or other outpatient visit for the evaluation and management of a new patient

60–74 minutes
High complexity
99211

Office or other outpatient visit for the evaluation and management of an established patient

N/A
N/A
99212

Office or other outpatient visit for the evaluation and management of an established patient

10–19 minutes
Straightforward
99213

Office or other outpatient visit for the evaluation and management of an established patient

20–29 minutes
Low complexity
99214

Office or other outpatient visit for the evaluation and management of an established patient

30–39 minutes
Moderate complexity
99215

Office or other outpatient visit for the evaluation and management of an established patient

40–54 minutes
High complexity

*NOTE: During the PHE, telehealth E/M code selection can be based on medical decision-making or time alone. When selecting a code based on time, use total time of the physician and/or qualified health care professional on the date of the encounter.

Information about other telehealth services covered by Medicare during the PHE can be found at the following link:

List of Covered Medicare Telehealth Services (During COVID-19 PHE)

Telephone Evaluation and Management Services
Evaluation and management visits via audio-only telephone communications
CPT Code
Description

Physician/QHP Services*

99441

Telephone evaluation and management service by a physician or other qualified health care professional (QHP) who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5–10 minutes of medical discussion

99442
11-20 minutes of medical discussion
99443
21-30 minutes of medical discussion

Qualified Nonphysician Health Care Professional Services

98966

Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment

98967
11-20 minutes of medical discussion
98968
21-30 minutes of medical discussion

*NOTE: During the PHE, payment rates for audio-only telephone E/M codes 99441-99443 will be increased to match those of established patient office/outpatient E/M codes 99212-99214.

E-Visits
Communication between a patient and a physician or qualified nonphysician practitioner through an online patient portal or secure email
CPT/HCPCS Code
Description
99421
Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes
99422
11-20 minutes
99423
21 or more minutes
98970
Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes
98971
11-20 minutes
98972
21 or more minutes
G2061
Qualified nonphysician health care professional online assessment, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes
G2062
11-20 minutes
G2063
21 or more minutes
Virtual Check-Ins
Brief check-in via telecommunications technology to decide whether an office visit or other service is needed
HCPCS Code
Description
G2012
Brief communication technology-based service, e.g., virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
Remote Image Evaluation
Remote review of video and/or images submitted by a patient, with interpretation and report
HCPCS Code
Description
G2010
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment