Summary & Overview
HCPCS G2010: Remote Evaluation of Patient-Submitted Video/Images
HCPCS Level II code G2010 describes a clinician’s remote evaluation of recorded video and/or images submitted by an established patient using a store-and-forward model, with interpretation and documented follow-up within 24 business hours. This asynchronous telehealth code matters nationally as telemedicine adoption grows and payers clarify coverage and payment for non‑real‑time clinical assessments that can reduce barriers to care and avoid unnecessary in-person visits. Key payers in scope include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare and Medicare.
Readers will learn the clinical scope of G2010, common use cases (for example, dermatology and wound checks), and how the code is positioned relative to synchronous telehealth and in-person evaluation and management services. The publication provides benchmarks and operational context where available, summarizes relevant policy considerations for national payers, and outlines documentation and timing constraints embedded in the code definition. Data not available in the input will be noted where applicable. This resource is intended to help billing, compliance, and clinical operations teams understand when G2010 applies and what elements define appropriate use at a national level.
Billing Code Overview
HCPCS Level II code G2010 covers remote evaluation of recorded video and/or images submitted by an established patient (store-and-forward). The service includes clinician interpretation of the submitted media and a documented follow-up with the patient within 24 business hours. The code is intended for encounters that are not originating from a related evaluation and management service in the previous seven days and do not lead to an evaluation and management service or procedure within the next 24 hours or the soonest available appointment.
Service type: Asynchronous telehealth (store-and-forward) clinical evaluation with follow-up
Typical site of service: Outpatient or ambulatory settings where remote patient-submitted images/videos are received and reviewed by the clinician; this can include telehealth-enabled clinics, dermatology practices, primary care clinics, and other outpatient specialty practices that accept patient-submitted media for diagnostic evaluation.
Clinical & Coding Specifications
Clinical Context
An established patient submits a short recorded video or still images via a secure patient portal showing a new or worsening dermatologic lesion, wound, or device site concern. The clinician reviews the store-and-forward media, documents interpretation, and communicates follow-up recommendations to the patient within 24 business hours. The interaction did not originate from an evaluation-and-management (E/M) visit in the prior 7 days and does not lead to an E/M visit or procedure within the next 24 hours or the soonest available appointment. Typical workflow: the patient uploads images, a nurse or medical assistant triages and routes the case to a qualified clinician (family medicine physician, dermatologist, or wound care advanced practice provider), the clinician reviews and documents findings, provides instructions (self-care, prescription change, urgent in-person visit if needed), and documents the time and communication in the medical record.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Professional component | Use when reporting only the professional component if applicable to the reporting context (rare for G2010). |
22 |