Summary
BCBSAZ covers telehealth only as the member's benefit plan provides. Under the BlueCare Anywhere benefit, telehealth is covered when the Telehealth Services Administrator provides the service and determines the condition is appropriate, for a medical, therapy or psychiatry consultation. Under the in-network telehealth benefit, a service is covered when it would be covered in person and can be provided effectively by telehealth, through audio-visual services or limited audio-only services, and out-of-network non-emergency telehealth is not covered. The most recent review, dated 07/29/26, made no revisions.
Get alerts when payers change rules like this one
We check BCBS Arizona and other payers every day and email you when a change matches your specialty and state.
Get BCBS Arizona alertsPolicy Monitoring is free. No card required.
What to do
Action · 8 steps
01Check current applicability of this BCBSAZ telehealth policy before billing telehealth services, because this is .
02Verify the telehealth benefit in the member's specific benefit plan, since coverage depends on it.
03For BlueCare Anywhere services, confirm the Telehealth Services Administrator provided the service and determined the condition or diagnosis is appropriate for telehealth.
04For in-network telehealth, confirm the service would be covered if provided in person and can be appropriately and effectively provided through telehealth.
05Audio-only services require documentation that an audio-visual visit is not reasonable due to the member's functional status or lack of technology, and that the encounter was initiated at the request of the member or authorized by the member before the encounter.
06Bill telehealth services with the place of service and modifier listed for each code in Attachment 1 (FQ for audio-only, GQ for asynchronous telecommunications, GT for interactive audio and video).
07The telehealth provider determines whether a condition is appropriate for telehealth, and if it is not, the provider suggests in-person treatment.
08Providers should provide complete medical rationale when requesting any exceptions to these guidelines.
Codes mentioned
774278832188323883259079190792908329083390834908369083790838908459084690847908499085390875908879090190951909529095390954909559095690957909589095990960909619096290963909649096590966909679096890969909709200292004920129201492227922289250792508925219252292523925249252692550925519255292553925559255692557925639256592567925689257092584925879259092591925929259392601926029260392604926059260692607926089260992610926189262592626926279263092633932289322993241932429324393244932459324693247932489326493268932709327193272932989375093797937989400294003940049400594664947749477695705957069570795708957099571095711957129571395714957159571695717957189571995720957219572295723957249572595726959709597195972959839598496105961109611296113961169612196125961279613096131961329613396136961379613896139961569615896159961609616196164961659616796168961709617196999971109711297116971299713097150971519715297153971549715597156971579715897161971629716397164971659716697167971689753097533975359754297550975519755297750977559776097761978029780397804980009800198002980039800498005980069800798008980099801098011980129801398014980159801698966989679896898970989719897299091992219922299223992319923299233992349923599236992389923999242992439924499245992529925399254992559928199282992839928499285992889929199292993049930599306993079930899309993109931599316993419934299344993459934799348993499935099358993599936699367993819938299383993849938599386993879939199392993939939499395993969939799401994029940399404994119941299417994189942199422994239944699447994489944999451994539945499457994589946899469994719947299473994759947699477994789947999480994839949299493994949949799498A0998D9995D9996G0270G0296G0108G0109H0001H0002H0004H0015H0020H0025H0031H0033H0034H0036H0038H2010H2011H2014H2015H2017H2025H2027H2033S0257S0285S0311S0315S0316S5100S5110S9470S9480T1002T1003T1015T1016T2016T2017T2019T2020T2021
Original notice
Telehealth Services
edge.sitecorecloud.io · Always check the source before changing claims.
Related changes
See all BCBS Arizona changes →Related policy hubs
BCBS Arizona policiesAZ policy changesCode 77427Code 88321Code 88323Code 88325Code 90791Code 90792Code 90832Code 90833Code 90834Code 90836Code 90837Code 90838Code 90845Code 90846Code 90847Code 90849Code 90853Code 90875Code 90887Code 90901Code 90951Code 90952Code 90953Code 90954Code 90955Code 90956Code 90957Code 90958Code 90959Code 90960Code 90961Code 90962Code 90963Code 90964Code 90965Code 90966Code 90967Code 90968Code 90969Code 90970Code 92002Code 92004Code 92012Code 92014Code 92227Code 92228Code 92507Code 92508Code 92521Code 92522Code 92523Code 92524Code 92526Code 92550Code 92551Code 92552Code 92553Code 92555Code 92556Code 92557Code 92563Code 92565Code 92567Code 92568Code 92570Code 92584Code 92587Code 92590Code 92591Code 92592Code 92593Code 92601Code 92602Code 92603Code 92604Code 92605Code 92606Code 92607Code 92608Code 92609Code 92610Code 92618Code 92625Code 92626Code 92627Code 92630Code 92633Code 93228Code 93229Code 93241Code 93242Code 93243Code 93244Code 93245Code 93246Code 93247Code 93248Code 93264Code 93268Code 93270Code 93271Code 93272Code 93298Code 93750Code 93797Code 93798Code 94002Code 94003Code 94004Code 94005Code 94664Code 94774Code 94776Code 95705Code 95706Code 95707Code 95708Code 95709Code 95710Code 95711Code 95712Code 95713Code 95714Code 95715Code 95716Code 95717Code 95718Code 95719Code 95720Code 95721Code 95722Code 95723Code 95724Code 95725Code 95726Code 95970Code 95971Code 95972Code 95983Code 95984Code 96105Code 96110Code 96112Code 96113Code 96116Code 96121Code 96125Code 96127Code 96130Code 96131Code 96132Code 96133Code 96136Code 96137Code 96138Code 96139Code 96156Code 96158Code 96159Code 96160Code 96161Code 96164Code 96165Code 96167Code 96168Code 96170Code 96171Code 96999Code 97110Code 97112Code 97116Code 97129Code 97130Code 97150Code 97151Code 97152Code 97153Code 97154Code 97155Code 97156Code 97157Code 97158Code 97161Code 97162Code 97163Code 97164Code 97165Code 97166Code 97167Code 97168Code 97530Code 97533Code 97535Code 97542Code 97550Code 97551Code 97552Code 97750Code 97755Code 97760Code 97761Code 97802Code 97803Code 97804Code 98000Code 98001Code 98002Code 98003Code 98004Code 98005Code 98006Code 98007Code 98008Code 98009Code 98010Code 98011Code 98012Code 98013Code 98014Code 98015Code 98016Code 98966Code 98967Code 98968Code 98970Code 98971Code 98972Code 99091Code 99221Code 99222Code 99223Code 99231Code 99232Code 99233Code 99234Code 99235Code 99236Code 99238Code 99239Code 99242Code 99243Code 99244Code 99245Code 99252Code 99253Code 99254Code 99255Code 99281Code 99282Code 99283Code 99284Code 99285Code 99288Code 99291Code 99292Code 99304Code 99305Code 99306Code 99307Code 99308Code 99309Code 99310Code 99315Code 99316Code 99341Code 99342Code 99344Code 99345Code 99347Code 99348Code 99349Code 99350Code 99358Code 99359Code 99366Code 99367Code 99381Code 99382Code 99383Code 99384Code 99385Code 99386Code 99387Code 99391Code 99392Code 99393Code 99394Code 99395Code 99396Code 99397Code 99401Code 99402Code 99403Code 99404Code 99411Code 99412Code 99417Code 99418Code 99421Code 99422Code 99423Code 99446Code 99447Code 99448Code 99449Code 99451Code 99453Code 99454Code 99457Code 99458Code 99468Code 99469Code 99471Code 99472Code 99473Code 99475Code 99476Code 99477Code 99478Code 99479Code 99480Code 99483Code 99492Code 99493Code 99494Code 99497Code 99498Code A0998Code D9995Code D9996Code G0270Code G0296Code G0108Code G0109Code H0001Code H0002Code H0004Code H0015Code H0020Code H0025Code H0031Code H0033Code H0034Code H0036Code H0038Code H2010Code H2011Code H2014Code H2015Code H2017Code H2025Code H2027Code H2033Code S0257Code S0285Code S0311Code S0315Code S0316Code S5100Code S5110Code S9470Code S9480Code T1002Code T1003Code T1015Code T1016Code T2016Code T2017Code T2019Code T2020Code T2021