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HCPCS G0320: Home Health Services via Synchronous Audio-Video Telemedicine

HCPCS Level II code G0320 designates home health services delivered via synchronous telemedicine using a real-time two-way audio and video system. As remote care models expand, this code captures clinical encounters where homebound or home-based patients receive hands-off clinical assessment, monitoring, and care coordination via live audiovisual link. Nationally, the code matters for aligning payment policies with telehealth clinical standards and ensuring access for patients unable to attend in-person visits.

Key payers in this coverage context include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of payer coverage patterns, typical service settings, and comparative benchmarks for telemedicine utilization in home health. The publication also outlines relevant policy updates affecting telehealth in home settings and clarifies the clinical scenarios where synchronous audio-video encounters are applied.

This summary equips clinicians, billing teams, and policy analysts with concise context on the code’s purpose, where it is used, and what to expect in payer handling and policy considerations at the national level. Data not available in the input will be noted where applicable in detailed sections.

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Billing Code Overview

HCPCS Level II code G0320 describes home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system. This code represents remote delivery of home health care when a clinician provides services to a patient in their home through live audio and video connection.

Service type: Home health telemedicine services (synchronous audio-video clinical visit)
Typical site of service: Patient's home, delivered remotely via a real-time two-way audio and video telecommunications system

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HCPCS G0320: Home Health Services via Synchronous Audio-Video Telemedicine

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Billing Code Overview

Service type: Home health telemedicine services (synchronous audio-video clinical visit)
Typical site of service: Patient's home, delivered remotely via a real-time two-way audio and video telecommunications system

Clinical & Coding Specifications

Clinical Context

A homebound elderly patient with congestive heart failure uses a real-time two-way audio and video telemedicine visit with a home health RN and the patient’s primary care physician to evaluate worsening dyspnea, medication adherence, and home oxygen needs. The home health nurse connects the patient via a secure, HIPAA-compliant video platform at the patient’s residence, documents vital signs, assesses weight and peripheral edema, and performs medication reconciliation while the physician observes, interviews the patient, adjusts diuretics as indicated, and documents the encounter. The visit is billed using G0320 to report synchronous telemedicine home health services furnished via real-time audio and video between the homebound patient and the remote clinician. Typical workflow steps include scheduling the telehealth home visit, confirming patient identity and location, establishing the video connection, performing clinical assessment and any remote monitoring review, documenting findings in the home health record, and submitting the claim with applicable modifiers and the patient’s ICD-10 diagnosis codes for medical necessity support.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier (default)	Use when no special circumstances apply to the service.
`22`	Increased procedural services	Use when the telehealth home visit required substantially greater work than typical (document rationale).
`23`	Unusual anesthesia	Not typically used for telehealth home visits; include only if unusual anesthesia was required in conjunction with the encounter (rare).
`52`	Reduced services	Use when the telehealth encounter was partially reduced or incomplete but still reportable.
`53`	Discontinued procedure	Use if the telehealth visit was started but discontinued due to patient instability or technical failure.
`54`	Surgical care only	Not generally applicable; only if the professional billed separately for surgical care components tied to the home setting.
`55`	Postoperative management only	Use if only postoperative management was furnished via telemedicine in the home.
`56`	Preoperative management only	Use if only preoperative management was furnished via telemedicine in the home.
`62`	Two surgeons	Rare for telehealth home services; use if two surgeons shared responsibility during the telemedicine encounter.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services furnished in an assistant-at-surgery capacity	Generally not applicable to routine telehealth home visits; include only if assistant-at-surgery services were furnished.
`CO`	Items or services furnished as part of an approved clinical trial	Use when the telehealth home visit is part of an approved clinical trial per payor rules.
`CQ`	Service furnished using communication technology for remote evaluation of recorded video and/or images submitted by an established patient	Use when the encounter includes asynchronous review of submitted video/images in addition to synchronous video.
`QK`	Medical direction of two, three, or four clinical staff-services of a qualified health care professional	Use when the billing clinician provided medical direction consistent with the modifier definition.
`QX`	Service performed by a physician's assistant under physician supervision	Use when the telehealth service is performed by a PA and the payor requires this modifier.
`QY`	Attendance at the originating site by an eligible telepresenter	Use when a qualified telepresenter at the patient’s home location is documented and required by payor policy.

Taxonomy Code	Specialty	Notes
`261QM0800X`	Home Health Care Provider	Nurses and clinicians who coordinate and deliver home-based telehealth services.
`207Q00000X`	Family Medicine	Primary care physicians who manage chronic conditions via telehealth home visits.
`207R00000X`	Internal Medicine	Internists providing remote management for complex medical patients at home.
`363LF0000X`	Nurse Practitioner	NPs who perform telehealth assessments and care coordination in the home.
`367A00000X`	Physician Assistant	PAs delivering telehealth services under supervising physicians for home health patients.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I50.9`	Heart failure, unspecified	Common reason for home telehealth visits to monitor weight, dyspnea, and medication response.
`J44.9`	Chronic obstructive pulmonary disease, unspecified	Telehealth home evaluations for worsening cough, dyspnea, and oxygen needs.
`E11.9`	Type 2 diabetes mellitus without complications	Chronic disease management via home telemedicine for medication management and monitoring.
`R06.02`	Shortness of breath	Symptom frequently assessed during synchronous home telemedicine encounters.
`Z74.3`	Need for continuous supervision	Reflects homebound status and need for home health services through telemedicine.
`Z71.89`	Other specified counseling	Counseling and education provided during telehealth home visits (e.g., self-care, medication adherence).

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99341`	Home visit for the evaluation and management of a new patient, typically 20 minutes	Used when an in-person home visit is performed instead of or in addition to the telehealth home service; documents comparable E/M work for new patients.
`99347`	Home visit for the evaluation and management of an established patient, typically 20 minutes	Used when an in-person home visit is provided to an established patient and complements or substitutes telehealth home services.
`99443`	Telephone evaluation and management service by physician or other qualified health professional, 21-30 minutes	May be used for extended audio-only follow-up when synchronous audio-video telemedicine (`G0320`) is not available or after the telehealth visit for additional phone management.
`99457`	Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month	Used when remote physiologic monitoring (RPM) data from the home (e.g., weight, pulse oximetry) are reviewed as part of home telehealth care.
`99091`	Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient to the physician or other qualified health professional	Used when significant data interpretation from the patient’s home monitoring devices informs the telehealth visit and is billed separately if supported.

HCPCS G9490: Home Visit Assessment for Non-Homebound Patients

HCPCS-G0008-INFLUENZA-VACCINE-ADMINISTRATION

HCPCS G0008: Influenza Virus Vaccine Administration

HCPCS-G0009-PNEUMOCOCCAL-VACCINE-ADMINISTRATION

HCPCS G0009: Administration of Pneumococcal Vaccine

HCPCS-G0010-HEPATITIS-B-VACCINE-ADMINISTRATION

HCPCS G0010: Administration of Hepatitis B Vaccine

HCPCS-G0011-PREP-COUNSELING-HIV-RISK-REDUCTION-ADHERENCE

HCPCS G0011: Individual PrEP Counseling, HIV Risk Assessment

HCPCS-G0012-PRE-EXPOSURE-PROPHYLAXIS-INJECTION-HIV-PREVENTION

HCPCS G0012: Injection of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention

HCPCS-G0013-PREP-INDIVIDUAL-COUNSELING-HIV-RISK-REDUCTION

HCPCS G0013: Individual PrEP Counseling and HIV Risk Assessment

HCPCS-G0017-PSYCHOTHERAPY-CRISIS-FIRST-60-MINUTES-NON-OFFICE

HCPCS G0017: Psychotherapy for Crisis, First 60 Minutes

HCPCS-G0018-PSYCHOTHERAPY-CRISIS-ADDITIONAL-30-MINUTES-NON-OFFICE

HCPCS G0018: Psychotherapy for Crisis, Additional 30 Minutes

HCPCS-G0019-COMMUNITY-HEALTH-INTEGRATION-SDOH-CARE-COORDINATION

HCPCS G0019: Community Health Integration for Social Determinants of Health

Showing 1–10 of 1996

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier (default)	Use when no special circumstances apply to the service.
`22`	Increased procedural services	Use when the telehealth home visit required substantially greater work than typical (document rationale).
`23`	Unusual anesthesia	Not typically used for telehealth home visits; include only if unusual anesthesia was required in conjunction with the encounter (rare).
`52`	Reduced services	Use when the telehealth encounter was partially reduced or incomplete but still reportable.
`53`	Discontinued procedure	Use if the telehealth visit was started but discontinued due to patient instability or technical failure.
`54`	Surgical care only	Not generally applicable; only if the professional billed separately for surgical care components tied to the home setting.
`55`	Postoperative management only	Use if only postoperative management was furnished via telemedicine in the home.
`56`	Preoperative management only	Use if only preoperative management was furnished via telemedicine in the home.
`62`	Two surgeons	Rare for telehealth home services; use if two surgeons shared responsibility during the telemedicine encounter.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services furnished in an assistant-at-surgery capacity	Generally not applicable to routine telehealth home visits; include only if assistant-at-surgery services were furnished.
`CO`	Items or services furnished as part of an approved clinical trial	Use when the telehealth home visit is part of an approved clinical trial per payor rules.
`CQ`	Service furnished using communication technology for remote evaluation of recorded video and/or images submitted by an established patient	Use when the encounter includes asynchronous review of submitted video/images in addition to synchronous video.
`QK`	Medical direction of two, three, or four clinical staff-services of a qualified health care professional	Use when the billing clinician provided medical direction consistent with the modifier definition.
`QX`	Service performed by a physician's assistant under physician supervision	Use when the telehealth service is performed by a PA and the payor requires this modifier.
`QY`	Attendance at the originating site by an eligible telepresenter	Use when a qualified telepresenter at the patient’s home location is documented and required by payor policy.

Taxonomy Code	Specialty	Notes
`261QM0800X`	Home Health Care Provider	Nurses and clinicians who coordinate and deliver home-based telehealth services.
`207Q00000X`	Family Medicine	Primary care physicians who manage chronic conditions via telehealth home visits.
`207R00000X`	Internal Medicine	Internists providing remote management for complex medical patients at home.
`363LF0000X`	Nurse Practitioner	NPs who perform telehealth assessments and care coordination in the home.
`367A00000X`	Physician Assistant	PAs delivering telehealth services under supervising physicians for home health patients.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I50.9`	Heart failure, unspecified	Common reason for home telehealth visits to monitor weight, dyspnea, and medication response.
`J44.9`	Chronic obstructive pulmonary disease, unspecified	Telehealth home evaluations for worsening cough, dyspnea, and oxygen needs.
`E11.9`	Type 2 diabetes mellitus without complications	Chronic disease management via home telemedicine for medication management and monitoring.
`R06.02`	Shortness of breath	Symptom frequently assessed during synchronous home telemedicine encounters.
`Z74.3`	Need for continuous supervision	Reflects homebound status and need for home health services through telemedicine.
`Z71.89`	Other specified counseling	Counseling and education provided during telehealth home visits (e.g., self-care, medication adherence).

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99341`	Home visit for the evaluation and management of a new patient, typically 20 minutes	Used when an in-person home visit is performed instead of or in addition to the telehealth home service; documents comparable E/M work for new patients.
`99347`	Home visit for the evaluation and management of an established patient, typically 20 minutes	Used when an in-person home visit is provided to an established patient and complements or substitutes telehealth home services.
`99443`	Telephone evaluation and management service by physician or other qualified health professional, 21-30 minutes	May be used for extended audio-only follow-up when synchronous audio-video telemedicine (`G0320`) is not available or after the telehealth visit for additional phone management.
`99457`	Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month	Used when remote physiologic monitoring (RPM) data from the home (e.g., weight, pulse oximetry) are reviewed as part of home telehealth care.
`99091`	Collection and interpretation of physiologic data digitally stored and/or transmitted by the patient to the physician or other qualified health professional	Used when significant data interpretation from the patient’s home monitoring devices informs the telehealth visit and is billed separately if supported.

HCPCS G9490: Home Visit Assessment for Non-Homebound Patients

HCPCS-G0008-INFLUENZA-VACCINE-ADMINISTRATION

HCPCS G0008: Influenza Virus Vaccine Administration

HCPCS-G0009-PNEUMOCOCCAL-VACCINE-ADMINISTRATION

HCPCS G0009: Administration of Pneumococcal Vaccine

HCPCS-G0010-HEPATITIS-B-VACCINE-ADMINISTRATION

HCPCS G0010: Administration of Hepatitis B Vaccine

HCPCS-G0011-PREP-COUNSELING-HIV-RISK-REDUCTION-ADHERENCE

HCPCS G0011: Individual PrEP Counseling, HIV Risk Assessment

HCPCS-G0012-PRE-EXPOSURE-PROPHYLAXIS-INJECTION-HIV-PREVENTION

HCPCS G0012: Injection of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention

HCPCS-G0013-PREP-INDIVIDUAL-COUNSELING-HIV-RISK-REDUCTION

HCPCS G0013: Individual PrEP Counseling and HIV Risk Assessment

HCPCS-G0017-PSYCHOTHERAPY-CRISIS-FIRST-60-MINUTES-NON-OFFICE

HCPCS G0017: Psychotherapy for Crisis, First 60 Minutes

HCPCS-G0018-PSYCHOTHERAPY-CRISIS-ADDITIONAL-30-MINUTES-NON-OFFICE

HCPCS G0018: Psychotherapy for Crisis, Additional 30 Minutes

HCPCS-G0019-COMMUNITY-HEALTH-INTEGRATION-SDOH-CARE-COORDINATION

HCPCS G0019: Community Health Integration for Social Determinants of Health

Showing 1–10 of 1996

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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HCPCS G0320: Home Health Services via Synchronous Audio-Video Telemedicine

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Billing Code Overview

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HCPCS G0320: Home Health Services via Synchronous Audio-Video Telemedicine

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References