Telehealth services are often billed at a lower code than office visits

Healthcare Finance News September 15, 2023
Susan Morse

For both primary and specialty care, telehealth visits are more frequently coded with a lower level-of-service billing code, Epic Research says.

Despite being able to be reimbursed for telehealth services at the higher facility rate for another year, providers are frequently billing for these virtual visits at a lower level-of-service code, Epic Research has found.

Epic’s study found this holds true for both primary and specialty care. Telehealth visits are more frequently coded with a lower level-of-service billing code than in-person office visits of the same specialty.

The Epic Research team evaluated the level-of-service billing codes for 1.3 million telehealth visits and 5.2 million office visits from January 1, 2022, through this past June 30.

Higher level-of-service codes represent more...

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