Back to dashboard
MedicaidBilling CodesHigh impact

Telehealth Expansion Billing Instructions

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Mar 30, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois expanded telehealth billing options during COVID-19, adding new HCPCS codes for virtual check-ins and e-visits, allowing audio-only encounters, and clarifying facility fee billing for telehealth services. Billing teams must use specific modifiers (GT) and place of service codes (02) for most telehealth services.

Action Required

Action needed
Immediately: Update billing system to use modifier GT and Place of Service 02 for all telehealth services. Replace CPT codes 99441, 99442, 99443 with HCPCS codes G2010 and G2012 for virtual check-ins. Add revenue code 0657 with HCPCS Q3014 for hospice telehealth facility fees. Train staff on new dental telehealth codes D9995/D9996 and inpatient consultation codes G0406-G0408, G0425-G0427. Configure system to allow audio-only encounters with GT modifier for medical/behavioral health encounters.

Affected Billing Codes

Q3014
D0140
D9995
D9996
G0406
G0407
G0408
G0425
G0426
G0427
99441
99442
99443
G2010
G2012
G2061
G2062
G2063
99421
99422
99423