98011 Insurance Policy Changes

CPT 98011, in plain terms, covers A new patient's initial telehealth visit conducted entirely by phone, lasting around an hour. CPT 98011 is referenced in 5 tracked payer policy changes from Highmark, Florida Blue, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 98011 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 98011 on AAPC