To avoid claims denial and the need to submit corrected claims, please make note of the following when billing telehealth and virtual care services in 2025. To maintain payment parity between in-person and telehealth visits for services rendered in 2025, continue to use the existing office visit procedure codes with appropriate modifiers and place of service codes.
Since Current Procedural Terminology (CPT) code G2012 has been retired, CPT Code 98016 may be used in its place for brief virtual check-in visits with established patients. Otherwise, EmblemHealth and ConnectiCare are not accepting the new telehealth codes for 2025. See our Telehealth/Virtual Care Services reimbursement policy.
JP 68539 02/2025
