Summary & Overview
HCPCS G0665: Team Remote E/M for Established Patient, 10 Minutes
HCPCS Level II code G0665 designates a team-based remote evaluation and management service for an established patient, billed in 10-minute increments of clinical staff time. As virtual care expands, this code captures non-physician, team-delivered E/M activities conducted remotely, reflecting broader shifts toward asynchronous and team-enabled care coordination. Its national relevance stems from growing payer recognition of remote clinical workflows and the need to standardize reimbursement for team-delivered virtual services.
Key payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on the clinical context for remote team E/M services, typical settings of use, and what the code represents operationally. The publication provides benchmarks and payment coverage notes where available, summarizes recent policy developments relevant to remote team E/M billing, and outlines implications for coding and documentation workflows in ambulatory and home-based virtual care models.
This analysis is intended for billing managers, revenue cycle staff, clinical leaders, and policy analysts seeking a national-level overview of HCPCS Level II code G0665, its purpose, and its placement within evolving telehealth and team-based care reimbursement frameworks.
Billing Code Overview
HCPCS Level II code G0665 describes team-based remote evaluation and management for an established patient, with a billed unit representing 10 minutes of clinical staff time. The service type is remote evaluation and management (E/M) provided by clinical staff as part of a care team, delivered without the patient physically present. The typical site of service is remote or virtual care (telehealth/telephonic/virtual care setting).
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Clinical & Coding Specifications
Clinical Context
A typical patient is an established primary care or specialty practice patient with a chronic condition (for example, diabetes mellitus, hypertension, chronic obstructive pulmonary disease, or heart failure) who requires intermittent clinical management but does not need a synchronous visit. A clinic nurse or clinical staff member reviews the electronic health record, incoming remote monitoring data, patient messages, medication lists, and recent lab results, then communicates with the supervising physician or other qualified health care professional to develop and document an assessment and plan. The team documents at least 10 minutes of cumulative time within a calendar month spent by clinical staff on activities related to evaluation and management of the established patient under the direction of the billing provider. Typical workflow steps include initial chart review, focused patient outreach by telephone or secure message, coordination of medication changes or lab orders, documentation in the medical record, and sign-off or additional input from the supervising clinician. Common settings include ambulatory primary care clinics, specialty chronic disease management programs, and hospital outpatient follow-up programs where remote, asynchronous team-based management is performed.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable E/M service by the same physician on the same day | When a distinct face-to-face E/M visit is performed the same day as the team remote E/M activity and must be reported separately |