CurrentNeighborhood Health Plan of Rhode IslandPolicy N/A

Telemedicine Services Payment Policy Rev 7.01.22 To 1.27.2023

Defines coverage, billing, documentation, coding, limitations, exclusions, and temporary allowances for telemedicine/telephone (audio-only) services across Medicaid (excluding EFP), INTEGRITY, and Commercial lines for Neighborhood Health Plan of Rhode Island. Part 1 includes policy statements, prerequisites, coverage requirements, preventive medicine guidance, exclusions, provider types excluded, claim submission, documentation, reimbursement, member cost-sharing, and coding guidance including a large temporary telemedicine code grid through 12/31/2023.

Policy Summary

PayerNeighborhood Health Plan of Rhode Island

PolicyTelemedicine Services Payment Policy Rev 7.01.22 To 1.27.2023

Policy CodePolicy N/A

Change TypeCoding grid updates; temporary allowances; permanent audio-only approvals

Effective Date

Next Review Date

Key ActionVerify member eligibility and support telemedicine claims with documentation of medical necessity and modality per the policy's billing and coding rules.

SourceLink

POLICY UPDATE CHANGES

Multiple CPT codes temporarily allowed for telemedicine through 12/31/2023 (marked 'Temporarily allowed by Neighborhood through 12/31/2023 = X').

Numerous codes marked Permanent = X indicating ongoing permanent allowance for telemedicine/audio-only.

Updated coding section to clarify requirements, added Doula service CPTs to Coding Grid and allowed Established E/M codes for Audio Only for PCPs effective 7/1/22.

Combined Telemedicine and Temporary Telemedicine policies and updated language/coding to align with CMS, EOHHS, OHIC guidance.

Policy update to include new POS 10 per CMS effective 4/1/22.

12/31/2023Temporary cutoff

Coverage Summary & Scope

This policy applies to Medicaid (excluding EFP), INTEGRITY, and Commercial lines and defines telemedicine/telehealth coverage, billing, documentation, coding, limits, exclusions and temporary allowances through a code-level grid. It aligns with Rhode Island law, OHIC, CMS guidance and EOHHS recommendations, and includes rules for place of service/modifiers, professional claim submission, and provider responsibilities. The document lists numerous CPT/HCPCS/other codes that are temporarily allowed through 12/31/2023 (marked X) and additional codes marked as permanently allowed (Permanent = X), specifies which codes are approved for audio-only (telephone) visits, and directs providers to follow EOHHS guidance for Medicaid/INTEGRITY billing (including billing the second in-person preventive visit to EOHHS FFS where applicable).

Policy metadata

PayerNeighborhood Health Plan of Rhode Island

Policy TitleTelemedicine/Telehealth Services Payment Policy

Effective Date(not specified in header)

Last Review2023-01-27

Next Review(not specified)

Lines of Business in scopeMedicaid (excl. EFP), INTEGRITY, Commercial

Temporary allowance cutoff date12/31/2023

# of codes listed (this part)~120 (120+ CPT codes listed)

General Coverage Criteria

Telemedicine/Telephone Services are covered when ALL of the following criteria are met:

ALL of the following

The patient must be present at the time of service
Services must be medically necessary and clinically appropriate to be provided through telemedicine
The communication of information exchanged must be sufficient to meet the key components/requirements of the same service when rendered face-to-face
Treatment must meet the same standard of care as, and be an appropriate substitute for, a face-to-face encounter
Services must be within the provider's scope of license

Preventive Medicine via Telemedicine/Telephone

Covered when ALL of the following are met:

ALL of the following

Adult Annual Preventive Exams, Pediatric Preventive Exams, and Medicare Annual Wellness Visit (AWV) may be provided via telemedicine/telephone only
First portion: perform preventive E&M or AWV components appropriate for telemedicine/telephone; bill the appropriate preventive E&M CPT (e.g., 99381-99385) on date of telemedicine service (only once)
Second portion: face-to-face visit to perform physical components (immunizations, vitals, vision/hearing screening); only separate services actually provided on second date billed on that date using appropriate procedure codes; preventive E&M/AWV must NOT be billed on the second date
Documentation must reflect both encounters and reference the initial telemedicine/telephone encounter date in the face-to-face progress note

Coverage Limitations

Limits on frequency of telemedicine visits:

ALL of the following

Subsequent hospital services: limited to 1 telehealth visit every 3 days
Subsequent nursing facility care services: limited to 1 telehealth visit every 14 days

Coverage Exclusions

Not covered when ANY of the following apply:

ANY of the following

Services rendered via e-mail or facsimile (fax)
Services rendered on social networking platforms (e.g., Facebook, Twitch, TikTok)
Telemedicine/Telephone services delivered on the same day as a face-to-face visit by the same provider and for the same condition
Patient communication incidental to an office visit (reporting test results, provision of educational materials, patient follow-up calls/'check-ins')
Administrative services (scheduling, appointment reminders, medication refills, ordering diagnostic/laboratory tests)

Excluded Provider Types

The following provider types are not medically appropriate to provide Telephone/Telemedicine services:

ANY of the following

Acupuncture
Ambulance service
Ambulatory surgical facility
Audiologist
Certified registered nurse first assist
Chiropractors

Coding: Code Groups & Audio‑Only / Temporary / Permanent Flags

Each CPT/HCPCS code in the coding grid is flagged with three boolean allowances: Approved for Audio Only Visit (Yes/No), Temporarily allowed through 12/31/2023 = X, and Permanent = X; use these code-level flags to determine modality and billing rules for telemedicine/audio-only encounters.

Temporary Telemedicine Services - Temporarily allowed through 2023-12-31 (audio-only allowed flag noted per code)CPTCovered

77427	Radiation treatment management, 5 treatments
90785	Interactive complexity (List separately in addition to the code for primary procedure)
90951	ESRD related services monthly, patients <2 years, 4+ face-to-face visits/month
90952	ESRD related services monthly, patients <2 years, 2-3 face-to-face visits/month
90953	ESRD related services monthly, patients <2 years, 1 face-to-face visit/month
90954	ESRD related services monthly, patients 2-11 years, 4+ face-to-face visits/month
90955	ESRD related services monthly, patients 2-11 years, 2-3 face-to-face visits/month
90956	ESRD related services monthly, patients 2-11 years, 1 face-to-face visit/month
90957	ESRD related services monthly, patients 12-19 years, 4+ face-to-face visits/month
90958	ESRD related services monthly, patients 12-19 years, 2-3 face-to-face visits/month

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1/9

Codes approved for audio-only visits (per listing)CPTCovered

96131	Neuropsychological testing - audio only allowed
96132	Neuropsychological testing - audio only allowed
96133	Neuropsychological testing - audio only allowed
96136	Psych/neuropsych test admin/scoring - audio only allowed
96137	Psych/neuropsych test admin/scoring - audio only allowed
96138	Psych/neuropsych test by technician - audio only allowed
96139	Psych/neuropsych test by technician - audio only allowed
96156	Health behavior assessment - audio only allowed
96158	Health behavior intervention, individual - audio only allowed
96159	Health behavior intervention, addl 15 min - audio only allowed

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Codes temporarily allowed through 2023-12-31 (per listing)CPTCovered

96131	Temporarily allowed through 12/31/2023
96132	Temporarily allowed through 12/31/2023
96133	Temporarily allowed through 12/31/2023
96136	Temporarily allowed through 12/31/2023
96137	Temporarily allowed through 12/31/2023
96138	Temporarily allowed through 12/31/2023
96139	Temporarily allowed through 12/31/2023
97110	Temporarily allowed through 12/31/2023
97112	Temporarily allowed through 12/31/2023
97116	Temporarily allowed through 12/31/2023

1–10 of 49

1/5

Codes marked permanent (regular telemedicine coverage per listing)CPTCovered

96156	Permanent = X
96158	Permanent = X
96159	Permanent = X
96160	Permanent = X
96161	Permanent = X
96164	Permanent = X
96165	Permanent = X
96167	Permanent = X
97163	Permanent = (not consistently marked)
97763	Permanent = X

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Temporarily allowed through 12/31/2023CPTCovered

99233	Hospital inpatient subsequent care; Temporarily/Perm markings per listing
99234	Observation/inpatient admission & discharge same date; Temporarily allowed through 12/31/2023
99235	Observation/inpatient admission & discharge; moderate complexity; Temporarily allowed through 12/31/2023
99236	Observation/inpatient admission & discharge; high complexity; Temporarily allowed through 12/31/2023
99238	Hospital discharge day management; 30 minutes or less; Temporarily allowed through 12/31/2023
99239	Hospital discharge day management; more than 30 minutes; Temporarily allowed through 12/31/2023
99281	ED visit; problem focused; Temporarily allowed through 12/31/2023
99282	ED visit; expanded problem focused; Temporarily allowed through 12/31/2023
99283	ED visit; moderate complexity; Temporarily allowed through 12/31/2023
99284	ED visit; detailed history/exam; Temporarily allowed through 12/31/2023

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Codes marked Approved for Audio Only Visit = Yes (covered for audio-only telemedicine)mixedCovered

99233	Hospital inpatient subsequent care; Audio-only allowed
99238	Hospital discharge day management ≤30 min; Audio-only allowed
99239	Hospital discharge >30 min; Audio-only allowed
99307	Subsequent nursing facility care; Audio-only allowed; Permanent = X
99308	Subsequent nursing facility care; Audio-only allowed; Permanent = X
99309	Subsequent nursing facility care; Audio-only allowed; Permanent = X
99310	Subsequent nursing facility care; Audio-only allowed; Permanent = X
99354	Prolonged E/M outpatient first hour; Audio-only allowed; Permanent = X
99355	Prolonged E/M outpatient additional 30 min; Audio-only allowed; Permanent = X
99356	Prolonged inpatient first hour; Audio-only allowed; Permanent = X

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Temporarily allowed by Neighborhood through 12/31/2023 (X)mixedCovered

99473	Home blood pressure monitoring training and device calibration (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)
99475	Initial inpatient pediatric critical care, per day, age 2-5 (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)
99476	Subsequent inpatient pediatric critical care, per day, age 2-5 (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)
99477	Initial hospital care for neonate ≤28 days requiring intensive observation (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)
99478	Subsequent intensive care for recovering very low birth weight infant (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)
99479	Subsequent intensive care for recovering low birth weight infant (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)
0362T	Behavior identification supporting assessment, each 15 minutes tech time (Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = X)
0373T	Modification, each 15 minutes of technicians' time for behavior (Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = X)
G0156	Home health/hospice aide services, each 15 minutes (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)
G0299	Direct skilled nursing services RN in home health/hospice, each 15 minutes (Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X)

1–10 of 26

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Permanently allowed (Permanent = X)mixedCovered

99483	Assessment and care planning for patient with cognitive impairment, typically 50 minutes face-to-face (Approved for Audio Only Visit = No; Permanently allowed = X)
99495	Transitional Care Management Services: contact within 2 business days, MDM moderate, face-to-face within 14 days (Approved for Audio Only Visit = No; Permanent = X)
99496	Transitional Care Management Services: contact within 2 business days, MDM high, face-to-face within 7 days (Approved for Audio Only Visit = No; Permanent = X)
99497	Advance care planning, first 30 minutes, face-to-face (Approved for Audio Only Visit = Yes; Permanent = X)
99498	Advance care planning, each additional 30 minutes (Approved for Audio Only Visit = Yes; Permanent = X)
G0108	Diabetes outpatient self-management training, individual, per 30 minutes (Approved for Audio Only Visit = Yes; Permanent = X)
G0109	Diabetes outpatient self-management training, group, per 30 minutes (Approved for Audio Only Visit = Yes; Permanent = X)
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year, per 15 minutes (Approved for Audio Only Visit = Yes; Permanent = X)
G0296	Counseling visit for lung cancer screening eligibility/shared decision making (Approved for Audio Only Visit = Yes; Permanent = X)
G0396	Alcohol/substance misuse structured assessment and brief intervention 15-30 minutes (Approved for Audio Only Visit = Yes; Permanent = X)

1–10 of 35

1/4

Approved for Audio Only Visit = YesmixedCovered

99497	Advance care planning, first 30 minutes
99498	Advance care planning, additional 30 minutes
0362T	Behavior identification supporting assessment, each 15 min tech time
0373T	Modification each 15 minutes tech time
G0108	Diabetes outpatient self-management training, individual
G0109	Diabetes outpatient self-management training, group
G0270	Medical nutrition therapy reassessment/subsequent intervention
G0296	Lung cancer screening counseling
G0396	Alcohol/substance misuse structured assessment brief intervention 15-30 min
G0397	Alcohol/substance misuse assessment/intervention >30 min

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Approved for Audio Only Visit = NomixedNot Covered

99473	Home blood pressure monitoring training/device calibration
99475	Initial inpatient pediatric critical care (age 2-5)
99476	Subsequent inpatient pediatric critical care (age 2-5)
99477	Initial hospital care for neonate ≤28 days requiring intensive care
99478	Subsequent intensive care very low birth weight infant
99479	Subsequent intensive care low birth weight infant
99480	Subsequent intensive care recovering infant 2501-5000g
0362T	Behavior identification supporting assessment (where audio-only not allowed per specific entries)
G0156	Home health/hospice aide services
G0422	Intensive cardiac rehabilitation with/without ECG monitoring

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Billing, Documentation & Prior Authorization Actions

Documentation Required

Support claims with medical record documentation

Support claims with medical record documentation. Neighborhood follows CMS documentation standards and may request medical records to substantiate billed services. Ensure records support the service(s) billed and medical necessity.

Maintain complete progress notes that reference telemedicine encounter dates when applicable.
Be prepared to provide supporting documentation upon Neighborhood's request.

Billing Rule

Place of Service and Modifiers for Permanent Telemedicine

Place of Service and Modifiers for Permanent Telemedicine. For codes designated Permanent in the coding grid: bill telemedicine services with POS 10 when the patient is at home and append modifier 95; use POS 02 when the patient is not at home and append modifier 95.

Background & Definitions

Policy establishes telemedicine/telehealth definitions and governance consistent with Rhode Island law, OHIC, CMS guidance and EOHHS recommendations; the terms telemedicine and telehealth are used interchangeably. All services must be medically necessary, meet the same standard of care as face-to-face encounters, and medical record documentation must meet CMS standards.

Telemedicine/Telehealth — Real-time, two-way synchronous audio, video, telephone-audio-only communications or electronic media/other telecommunications technology used to provide clinical healthcare services with the patient at an originating site and the provider at a distant site. Temporarily allowed through 12/31/2023 = X — the payer permits the code for telemedicine use only through December 31, 2023. Approved for Audio Only Visit — the payer permits the code to be billed for encounters conducted via audio-only (telephone) modality. Permanent = X — the payer marks this code as permanently allowed for telemedicine/audio-only modality.

Code-level Telemedicine Allowance Flags (operational notes)

Code-level Telemedicine Allowance Flags

Each listed code has three boolean coverage/billing flags: Approved for Audio Only Visit, Temporarily allowed by Neighborhood through 12/31/2023, Permanent.

ALL of the following

Neuropsychological testing / psychological services
- 96131 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = X; Permanent = .
- 96132 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = X; Permanent = .
- 96133 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = X; Permanent = .

Policy Revision History

2023-01-27revisedLatest

Document History entry dated 1/27/2023: Updated coding section to clarify requirements, added Doula service CPTs to Coding Grid and allowed Established E/M codes for Audio Only for PCPs effective 7/1/22.

2022-05-01revised

Document History entry dated 05/01/2022: Combined Telemedicine and Temporary Telemedicine policies and updated language/coding to align with CMS, EOHHS, OHIC guidance.

2022-01-20revised

Policy Summary

PayerNeighborhood Health Plan of Rhode Island

PolicyTelemedicine Services Payment Policy Rev 7.01.22 To 1.27.2023

Policy CodePolicy N/A

Change TypeCoding grid updates; temporary allowances; permanent audio-only approvals

Effective Date

Next Review Date

Key ActionVerify member eligibility and support telemedicine claims with documentation of medical necessity and modality per the policy's billing and coding rules.

SourceLink

On This Page

Billing Rule

Temporary Telemedicine POS and Modifiers (through 2023-12-31)

Temporary Telemedicine POS and Modifiers (through 2023-12-31). For codes marked Temporary in the coding grid, follow CMS temporary guidance: bill telemedicine services with POS 10 and modifiers 95 and CR when the patient is at home, or POS 02 with modifiers 95 and CR when the patient is not at home. Telephone-only temporary filings must use POS 02 and modifier CR or POS 10 and modifier CR as specified.

Temporary telemedicine (through 12/31/2023): POS 10 + 95 + CR for patient at home.
Temporary telemedicine (through 12/31/2023): POS 02 + 95 + CR for patient not at home.
Telephone-only temporary filing: POS 02 + CR or POS 10 + CR as applicable.

Prior Authorization

Verification of eligibility and prior authorization

Verification of eligibility and prior authorization. Verify member eligibility and benefit coverage prior to rendering telemedicine services. Refer to Neighborhood's plan-specific Prior Authorization Reference page and applicable Clinical Medical Policies for authorization requirements.

Confirm eligibility and benefits before the visit.
Obtain prior authorization when required per plan-specific references and Clinical Medical Policies.

Billing Rule

Separate sick visit billing

Separate sick visit billing. If non-preventive concerns are addressed during the subsequent in-person visit, bill those separately using the appropriate sick E&M code; documentation must support a separately identifiable encounter. For Commercial members, usual cost share applies to the separately billed sick visit.

Non-preventive issues at the in-person visit can be billed separately with appropriate documentation.
Commercial members: standard cost share applies to separately billed sick visits.

Billing Rule

Permanent audio-only approvals

Permanent audio-only approvals. Codes marked Permanent and Approved for Audio Only in the coding grid (Permanent = X and Approved for Audio Only = Yes) remain allowable for audio-only delivery after the temporary program expires; follow the coding grid flags when selecting these codes.

Codes with Permanent = X and Approved for Audio Only = Yes remain allowed for audio-only after temporary allowances end.
Refer to coding grid to identify permanently approved audio-only codes.

Documentation Required

Claims subject to audit and standard requirements

Claims subject to audit and standard requirements. Telemedicine claims are subject to audit; ensure compliance with eligibility, billing edits, prior authorizations, contract terms and applicable laws and regulations. Maintain complete records to support services billed.

Claims may be audited for eligibility, edits, authorizations and regulatory compliance.
Maintain and retain documentation to support medical necessity and billed services.

Therapeutic and rehabilitation procedures (PT/OT/ADL/etc.)

97110 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97112 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97116 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97129 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97130 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97150 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97151 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97152 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97153 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97154 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97155 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97156 (ABA family guidance) - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97157 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97158 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97161 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97162 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97163 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97164 (PT re-evaluation) - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97165 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97166 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97167 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97168 (OT re-evaluation) - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97530 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97535 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97542 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97750 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97755 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97760 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97761 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
97763 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X

Medical nutrition therapy and education

97802 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = .; Permanent = X
97803 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = .; Permanent = X
97804 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = .; Permanent = X
98960 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X
98961 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X
98962 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X
99199 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = .; Permanent = X

Office/outpatient E/M and observation/hospital E/M codes

99202 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X
99203 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X
99204 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X
99205 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = .; Permanent = X
99211 - Approved for Audio Only Visit = Yes (PCP only); Temporarily allowed through 12/31/2023 = .; Permanent = X
99212 - Approved for Audio Only Visit = Yes (PCP only); Temporarily allowed through 12/31/2023 = .; Permanent = X
99213 - Approved for Audio Only Visit = Yes (PCP only); Temporarily allowed through 12/31/2023 = .; Permanent = X
99214 - Approved for Audio Only Visit = Yes (PCP only); Temporarily allowed through 12/31/2023 = .; Permanent = X
99215 - Approved for Audio Only Visit = Yes (PCP only); Temporarily allowed through 12/31/2023 = .; Permanent = X
99217 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99218 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99219 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99220 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99221 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99222 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99223 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99224 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99225 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99226 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99231 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = .; Permanent = X
99232 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = .; Permanent = X
99233 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = .; Permanent = X
99234 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99235 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99236 - Approved for Audio Only Visit = No; Temporarily allowed through 12/31/2023 = X; Permanent = .
99238 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = X; Permanent = .
99239 - Approved for Audio Only Visit = Yes; Temporarily allowed through 12/31/2023 = X; Permanent = .