Virtual Services Due to COVID-19 (UB-04 Billing)
Updated 05/11/2020 - After evaluating our current state status on COVID-19, BCBSKS is expanding telehealth/virtual services until June 30,2020.
Blue Cross and Blue Shield of Kansas (BCBSKS) continues to be committed to the health and safety of our members and communities that we serve. We also want to support your tireless efforts to provide virtual services.
Due to the public health emergency, BCBSKS is temporarily permitting hospital based providers to bill for some services provided virtually. To be eligible for coverage, it must be medically reasonable for such services to be provided using real-time, two-way audio and or audio/visual communications. These services should be billed to BCBSKS with Revenue Code 0780 to ensure no member cost share will be applied.
As always, BCBSKS expects providers to bill the code that most accurately reflects the services rendered.
The following services are approved:
- Physical Therapy/Occupational Therapy/Speech-Language Therapy
- Therapist should report the appropriate CPT or HCPCS code for services as if the patient presented at the hospital or,
- Effective 04/16/2020, therapist can bill the following codes for virtual services:
- Therapist should report the appropriate CPT or HCPCS code for services as if the patient presented at the hospital or,
| Procedure Code | Description |
|---|---|
| G2061 | Qualified nonphysician healthcare professional online assessment, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes |
| G2062 | Qualified nonphysician healthcare professional online assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes |
| G2063 | Qualified nonphysician qualified healthcare professional assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes |
| 98966 | Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
| 98967 | Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion |
| 98968 | Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion |
Reimbursement information for all codes listed above will be sent individually to each facility.
- Lactation Support/Counseling
- Provider should refer to the Institutional Provider Manual (page 347) on eligible provider types and additional billing guidelines. The Institutional Provider Manual is available on Blue Access (Availity log on is required.)
- Please remember to check the member's benefits to ensure it includes lactation support/counseling.
- Provider should refer to the Institutional Provider Manual (page 347) on eligible provider types and additional billing guidelines. The Institutional Provider Manual is available on Blue Access (Availity log on is required.)
This expansion is effective April 13, 2020 and will remain in effect until May 31, 2020. At that time, BCBSKS will re-evaluate the situation for a possible extension.
If you have any questions regarding this newsletter, please contact your BCBSKS Institutional Relations Provider Consultant.