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Telephone Visits Billing, Coding and Regulations Information

Information last updated March 17, 2025

Following the PHE, the Federal government and Congress took steps to extend pandemic-era telehealth flexibilities. Some of the flexibilities were made permanent while others are temporary. Several temporary telehealth flexibles are set to expire September 30, 2025, without Congressional action.

  • CMS:
  • HHS:
  • HHS:

Some patients may not have access to video visits because they cannot access interactive audio-video technology, do not have reliable broadband, may not be facile with technology, or may prefer not to use video technology. Practices can use audio-only telephone calls to provide care for their patients if the patient is unable or does not consent to the use of video.

  • Can be used for new or established patients.
  • Document verbal consent and why an in-person or audio-video encounter was not possible.

Billing and Coding 

  • CPT codes 99441-99443 are no longer available for CY 2025.
  • Physicians should use existing E/M codes (99202-99215) with a –93 modifier
    • Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) may also use the FQ modifier
  • For additional billing and coding support please visit ACP’s Coding for Clinicians modules

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