BCBS TexasHigh ImpactBilling Codes
Policy for Billing Telemedicine and Telehealth Services Updated, Effective Jan. 1, 2025
Published January 12, 2026Effective January 1, 2025
AI Summary
Effective January 1, 2025, new AMA evaluation and management telemedicine service codes have been established for billing telehealth visits. These codes function similarly to office visits but require communication-based technology and are based on medical decision making level or total time spent.
Action Required
Immediately: Billing team must review and implement the revised Clinical Payment and Coding Policy CPCP033 for telemedicine services. Update billing software to include new AMA telemedicine E&M codes effective Jan 1, 2025. Train staff on proper code selection based on medical decision making or time documentation. Update encounter forms and EMR templates to capture required telemedicine-specific documentation.
Plan Types
All Plans
States
TX
Specialties
all-specialties