MEMORANDUM NO. 2020-11
WCC UPDATE REGARDING THE REIMBURSEMENT OF TELEMEDICINE SERVICES
| TO: | WCC Commissioners, District Administrators, Advisory Board, Legal Advisory Panel, Medical Advisory Panel, Medical Practitioners, Self-Insureds, Insurance Carriers, Medical Care Plans, Attorneys, and Unions |
| FROM: | Stephen M. Morelli, Chairman |
| DATE: | April 23, 2020 |
| RE: | WCC UPDATE REGARDING THE REIMBURSEMENT OF TELEMEDICINE SERVICES |
The Workers' Compensation Commission is encouraging the use of telemedicine in response to the COVID-19 pandemic. Providers have been instructed to bill telemedicine visits with the appropriate CMS or CPT identified telemedicine code, utilizing modifier 95 together with place of service 02. Carriers have been advised to reimburse these visits at the fee schedule rate with no reduction (excluding contractual discounts).
Until further notice, the Workers' Compensation Commission is instructing that workers' compensation claims billed with place of service 02 shall be reimbursed at the non-facility rate.