Reimbursement Policy & Telehealth Parity

New York has a parity law that was enacted in 2014. It requires parity under private payors, Medicaid, and state employee health plans.

See New York State Insurance Law § 3217-H (2014)

New York Telemedicine: CPT Codes

Unique CPT codes do not exist specifically for telemedicine or telehealth. Instead a modifier is applied to existing codes.

• For interactive audio and video sessions, place a GT modifier in front of the CPT codes you typically use for in person services.

• For services provided via an asynchronous telecommunication system, simply add a GQ modifier in front of the CPT codes you typically use for in person services.