Stop billing HCPCS code G2025 and use the appropriate telehealth service code and modifier
Beginning October 1, 2026, the Centers for Medicare & Medicaid Services (CMS) changed how Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) bill distant-site telehealth services.
Telehealth billing requirements
For dates of service on or after October 1, 2026, do not bill code G2025 for distant-site telehealth services. Instead, bill the procedure code that accurately describes the telehealth service provided and report the appropriate telehealth modifier:
- Modifier 93 for eligible audio-only telehealth services.
- Modifier 95 for eligible audio and video telehealth services.
For a list of eligible telehealth service codes, visit the CMS Telehealth Services List.
Will this affect my reimbursement?
This change does not affect CMS reimbursement.
Need help? Contact us
If you have questions regarding the information contained in this update, contact the Provider Services Center at 866-999-3945.
This information applies to Physicians and Practitioners, Independent Practice Associations (IPAs), Hospitals, and Ancillary Providers.
