HCPCS Level II Q3014: Telehealth Originating Site Facility Fee - OpenPayer

Summary & Overview

HCPCS Level II Q3014: Telehealth Originating Site Facility Fee

HCPCS Level II code Q3014 denotes the telehealth originating site facility fee charged when a patient receives a telehealth encounter at an approved originating location. This code matters nationally as telehealth remains a widely used modality for outpatient care, and originating site facility fees affect access and the economics of virtual visits for facilities and patients. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn what Q3014 represents clinically and operationally, which payers recognize the code, and how it relates to common telehealth service lines and encounter types. The publication summarizes typical associated service settings, common clinical scenarios where an originating site fee may apply, and linked outpatient evaluation and management or telehealth-specific services commonly billed alongside originating site facility charges. The brief also identifies related visit and virtual care codes relevant to outpatient telehealth workflows and notes commonly reported ICD-10 diagnosis examples used with telehealth encounters. Data not available in the input: detailed payer-specific reimbursement rates, utilization benchmarks, and state-level policy variations.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareQ3014HCPCS Level IItelehealthoriginating sitefacility feeoutpatientvirtual carereimbursementbilling

Billing Code Overview

HCPCS Level II code Q3014 represents the telehealth originating site facility fee. This code is used to report a facility charge when a patient accesses a covered telehealth visit from an approved originating site. The service type is telehealth originating site facility service, and the typical site of service is the originating site location where the patient is physically present (for example, a clinic, hospital, or other approved facility) at the start of a telehealth encounter.

Clinical & Coding Specifications

Clinical Context

A 42-year-old established patient presents to a rural clinic that serves as an authorized telehealth originating site. The patient calls ahead and is registered at the clinic front desk; vital signs and a brief intake are completed by nursing. The patient is placed in a private exam room at the clinic (the originating site), and the clinic bills the telehealth originating site facility fee for use of their location and telehealth support. The patient then connects by real-time audiovisual telehealth to a remote primary care physician located at another facility for an evaluation of acute cough and nasal congestion. The remote clinician documents the encounter, provides an assessment (e.g., acute upper respiratory infection) and plan, and documents that the patient was located at the originating site during the audiovisual telehealth visit.

The clinical workflow: patient scheduling/registration at the originating site; rooming and brief vital signs; verification of patient identity and consent for telehealth; initiation of the audiovisual connection to the distant provider; documentation by the distant provider and clinical staff; billing of the originating site facility fee using Q3014 with applicable modifiers and the appropriate ICD-10 diagnosis (for example J06.9).

Coding Specifications

Modifier	Description	When to Use
`Q3014`

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29086

CPT 29086: Application and Fabrication of Finger Cast

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HCPCS G0175: Scheduled Interdisciplinary Team Conference with Patient Present

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Q3014-telehealth-originating-site-facility

HCPCS Level II Q3014: Telehealth Originating Site Facility Fee

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Taxonomy Code	Specialty	Notes
`208D00000X`	General Practice	Common originating or distant site clinicians for primary care telehealth visits.
`207Q00000X`	Family Medicine	Frequent users of telehealth for routine and acute outpatient visits; may bill associated professional services.
`207R00000X`	Internal Medicine Physician	Distant site physicians providing adult telehealth primary care services.
`208000000X`	Pediatrics	Providers caring for children at originating sites for routine child health examinations via telehealth.
`2084P0800X`	Psychiatry	Distant site mental health clinicians who may deliver telepsychiatry services with a patient located at an originating site.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99201`	Office or other outpatient visit for the evaluation and management of a new patient	May be billed by the distant site clinician for a new patient telehealth E/M while the patient is at the originating site; `Q3014` bills the originating site facility fee on the same date.
`99212`	Office or other outpatient visit for the evaluation and management of an established patient	Used by the distant site clinician for a brief established-patient telehealth visit; billed alongside the originating site fee `Q3014`.
`99441`	Telephone evaluation and management service provided by a physician to an established patient	If the encounter is by telephone rather than audiovisual telehealth, distant site clinicians may bill telephone E/M codes; `Q3014` is specific to originating site facility for telehealth and may not apply to audio-only services depending on payer rules.
`99442`	Telephone evaluation and management service provided by a physician to an established patient, 11-20 minutes	Higher time-tier telephone E/M applicable to audio-only encounters; relationship and applicability to `Q3014` depend on payer telehealth policies.
`99443`	Telephone evaluation and management service provided by a physician to an established patient, 21-30 minutes	Highest time-tier telephone E/M for audio-only care; check payer guidance for whether an originating site fee `Q3014` is payable for audio-only encounters.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z71.1`	Person with feared health complaint in whom no diagnosis is made	Relevant when the telehealth visit addresses patient anxiety about symptoms without an identifiable medical diagnosis; supports counseling and evaluation services delivered via telehealth.
`Z00.00`	Encounter for general adult medical examination without abnormal findings	Used when the telehealth encounter is for routine adult health assessment at an originating site and no abnormal findings are present.
`Z00.129`	Encounter for routine child health examination without abnormal findings	Used for routine pediatric well visits conducted via telehealth from an originating site with no abnormal findings.
`F41.9`	Anxiety disorder, unspecified	Relevant to telehealth psychiatric or behavioral health visits delivered remotely with the patient at an originating site.
`J06.9`	Acute upper respiratory infection, unspecified	Common acute diagnosis evaluated via telehealth from an originating site when patients present with cough, congestion, or URI symptoms.